A case of vogt-koyanagi-harada syndrome with persistent dyspnea secondary to laryngeal edema.
A case of vogt-koyanagi-harada syndrome with persistent dyspnea secondary to laryngeal edema.
复制标题
喉部水肿继发持续性呼吸困难的沃格特-小柳-原田综合征一例。
DOI：
10.1159/000369003
复制
发表时间：
2014
影响因子：
0.4
通讯作者：
Cebulla,ColleenM
中科院分区：
文献类型：
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作者：
Mantopoulos,Dimosthenis;deSilva,BradW;Cebulla,ColleenM
PurposeWe报告一例喉水肿与Vogt-Koyanagi-Harada（VKH）syndrome.Patient and MethodsA 32岁的非洲裔美国女性提出了12天的前驱症状，包括头痛，耳鸣和呼吸急促，这之前突然恐惧症和双侧视力丧失。检查和临床测试是最一致的VKH，和病人改善静脉注射甲泼尼龙therapy.ResultsThe患者有持续的呼吸困难，这是不成比例的胸部CT结果，并在复发VKH加剧。软性纤维喉镜和频闪镜检查显示弥漫性喉水肿。症状缓解呼吸exercises.Conclusionsseveral自身免疫性疾病可能会导致弥漫性喉水肿。在该病例中，VKH与患者的声门水肿和呼吸困难相关。我们建议在鉴别诊断呼吸困难和VKH患者时应考虑喉水肿。
PurposeWe report a case of laryngeal edema associated with the Vogt-Koyanagi-Harada (VKH) syndrome.Patient and MethodsA 32-year-old African-American female presented with a 12-day prodrome, including headache, tinnitus and shortness of breath, which preceded sudden photophobia and bilateral visual loss. Examination and clinical testing were most consistent with VKH, and the patient improved with intravenous methylprednisolone therapy.ResultsThe patient had persistent dyspnea, which was out of proportion to chest CT findings and which was exacerbated during a recurrence of VKH. Flexible fiberoptic laryngoscopy with stroboscopy revealed diffuse laryngeal edema. Symptoms were alleviated with breathing exercises.ConclusionsSeveral autoimmune diseases may cause diffuse laryngeal edema. In this case, VKH was associated with the patient's glottic edema and dyspnea. We recommend that laryngeal edema be considered in the differential diagnosis for patients with dyspnea and VKH.
DOI：
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发表时间：
1978
期刊：
影响因子：
--
作者：
I. Bouchier
通讯作者：
I. Bouchier