Spontaneous improvement of laryngeal sarcoidosis resistant to systemic corticosteroid administration

Kazuya Tsubouchi, Naoki Hamada, Kayo Ijichi, Toshiro Umezaki, Koichi Takayama, Yoichi Nakanishi

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

We report herein a case of laryngeal sarcoidosis that was refractory to systemic corticosteroids, but that improved spontaneously. A 49-year-old woman complained of dysphagia and hoarseness with accompanying edematous swellings of both arytenoid regions. She was referred to our hospital after systemic corticosteroid therapy failed to achieve any improvement. Laryngoscopy showed marked edema of the epiglottis and both arytenoid regions. The flow-volume curve on spirometry showed flattening of the expiratory flows. Histopathological examination of the arytenoid region showed non-caseating epithelioid granulomas, and laryngeal sarcoidosis was diagnosed with the result of BAL study. She was observed without treatment as symptoms were mild. Although edema of the left arytenoid region seemed to be somewhat worsened after 6 months, she continued to be followed closely because of improvements in the flow-volume curve and increasing peak expiratory flow. By 1 year after onset, symptoms and epiglottal swelling had spontaneously improved.

Original languageEnglish
Pages (from-to)112-114
Number of pages3
JournalRespirology Case Reports
Volume3
Issue number3
DOIs
Publication statusPublished - 2015

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

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