J Korean Soc Laryngol Phoniatr Logoped.
2019 Jun;30(1):61-64. 10.0000/jkslpl.2019.30.1.61.
A Case of Unilateral Vocal Fold Paralysis Secondary to Sarcoidosis
- Affiliations
-
- 1Department of Otolaryngology Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. jhchomd@catholic.ac.kr
- KMID: 2452817
- DOI: http://doi.org/10.0000/jkslpl.2019.30.1.61
Abstract
- Sarcoidosis is a multisystem granulomatous disease of unknown etiology. Vocal fold paralysis secondary to sarcoidosis is extremely rare but it can develop as a result of compressive lymphadenopathy, granulomatous infiltration, and neural involvement. We report the case of a 56-year-old woman who presented with unilateral vocal fold paralysis and enlarged supraclavicular lymph nodes. Computed tomography of the neck revealed multiple, enlarged, and matted lymph nodes at the cervical level of IV. An ultrasound-guided core needle biopsy of the lymph node was performed, and a histopathological diagnosis of sarcoidosis was made by validating the presence of noncaseating granuloma. After implementation of steroid therapy, the patient exhibited immediate recovery from vocal fold paralysis. Although an extremely rare disease, sarcoidosis should be included in the differential diagnosis of vocal fold paralysis. Accurate diagnosis and prompt steroid treatment may reduce the morbidity of patients with vocal fold paralysis secondary to sarcoidosis.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The Vertical Level of the Paralyzed Vocal Fold in Unilateral Vocal Fold Paralysis
- Vocal Fold Injection: Review of Indications, Techniques, and Materials for Augmentation
- Primary Thyroid Lymphoma with Vocal Fold Paralysis
- Laryngeal Reinnervation as a Treatment Option for Permanent Unilateral Vocal Fold Paralysis
- A Case of Unilateral Vocal Fold Paralysis Caused by Ortner's Syndrome
