Scleroma of the Larynx: A Case Report
Korean Journal of Pathology
; : 287-290, 2003.
Article
em En
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| ID: wpr-109450
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WPRO
ABSTRACT
Scleroma of the larynx is a rare specific granulomatous disease and is usually presented as alaryngeal extension of a primary rhinoscleroma. We report an unusual case of laryngeal scleromain a 64-year-old female patient whose presented with progressive upper respiratory obstructivesymptoms lasted for 2 years. Symptoms were acutely exaggerated during the course of one month.On physical examination, the nasal mucosa was atrophic and crusted, and septal perforationwas noted. The fiberoptic laryngoscopy revealed a yellowish granulated epiglottic mass with adirty surface mimicking laryngeal cancer. Histological sectioning showed the characteristic featuresof scleroma including Mikulicz cells with scattered plasma cells and some neutrophils.Warthin-starry stains and electron microscopy examination showed numerous short rods insidethe cytoplasm of the Mikulicz cells. After the diagnosis, the patient underwent an emergency tracheostomyfollowed by long-term antibiotic treatment, and her symptoms have slowly improved.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Exame Físico
/
Plasmócitos
/
Microscopia Eletrônica
/
Rinoscleroma
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Neoplasias Laríngeas
/
Citoplasma
/
Diagnóstico
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Corantes
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Emergências
/
Laringoscopia
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Korean Journal of Pathology
Ano de publicação:
2003
Tipo de documento:
Article