由于牛皮关节炎而导致的双边声带不运动:一种罕见的临床病例
Kyle Tong1,2, Logan Milne2, Ross Campbell1,2,3
1Faculty of Medicine, University of Ottawa, ON, Canada.
Ear, nose, & throat journal
|January 9, 2026
概括
牛皮关节炎可能导致罕见的声带不运动. 这一案例凸显了在患有不明原因声和呼吸困难的患者中需要考虑这种情况的必要性.
科学领域:
- 类风湿病学 类风湿病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学案例研究 医学案例研究
背景情况:
- 牛皮关节炎是一种慢性炎症性疾病.
- 声带不动可以由各种原因引起.
- 在牛皮性关节炎中,状关节的干扰是罕见的.
研究的目的:
- 报告一种极为罕见的双边声带不运动病例,这是牛皮性关节炎的次要原因.
- 强调在声带功能障碍的差异诊断中考虑牛皮关节炎的重要性.
主要方法:
- 一名60岁的男性患者患有牛皮关节炎,呈现出慢性声和呼吸障碍.
- 诊断工作包括灵活的喉透视镜和部的对比增强计算机断层扫描 (CT).
- 图像检查排除了声带不运动的结构性,神经学或恶性原因.
主要成果:
- 灵活的喉视镜检查显示了在参数位置的双边真声带不动.
- CT扫描证实了声带不运动的发现,但没有显示沿着复发性喉神经 (RLNs) 的病变.
- 临床表现和成像发现与由于牛皮关节炎而导致的关节固定一致.
结论:
- 双边声带不运动可能是牛皮关节炎的非典型表现.
- 这一案例强调了需要将牛皮关节炎纳入无法解释的声带不运动的治疗中.
- 在牛皮患者中早期识别和治疗关节炎可以预防长期的发病率.
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