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Progressive Heiserkeit

Progressive hoarseness

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Zusammenfassung

Bei einer 31-jährigen Lehrerin bestand eine progressive Heiserkeit. Lupenlaryngoskopisch zeigten sich bilateral korrespondierende, transversale, cremefarben-gelbliche, knotige Veränderungen der Submukosa des mittleren Stimmlippendrittels. Diese sind charakteristisch für „bamboo nodes“, die selten sind und einen deutlichen Hinweis auf eine zugrunde liegende Autoimmunerkrankung ergeben. Im vorliegenden Fall konnte ein nicht bekannter M. Sjögren diagnostiziert werden. Nach operativer Abtragung, lokaler Kortikosteroidtherapie und Logopädie wurde eine deutliche Stimmverbesserung erzielt.

Abstract

A 31-year-old female teacher presented with a 6-month history of progressive hoarseness. The rigid laryngeal endoscopy showed corresponding transversal cream-yellow nodular lesions in the submucosal space of the middle third of both vocal folds. These are characteristic for bamboo nodes which are rare and strongly associated with autoimmune disease. In the present case a hitherto undiscovered Sjögren syndrome was diagnosed. After surgical excision, local steroid therapy and voice training a considerable voice improvement could be achieved.

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Authors and Affiliations

  1. Klinik für Hals-, Nasen- und Ohrenheilkunde, Friedrich-Schiller-University Jena, Lessingstr. 2, 07740, Jena, Deutschland

    T. Bitter, G.F. Volk, C. Wittekindt & O. Guntinas-Lichius

  2. Institut für Pathologie, Friedrich-Schiller-Universität Jena, Jena, Deutschland

    P. Lehmann

Authors
  1. T. Bitter
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  2. G.F. Volk
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  3. P. Lehmann
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  4. C. Wittekindt
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  5. O. Guntinas-Lichius
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Correspondence to T. Bitter.

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Bitter, T., Volk, G., Lehmann, P. et al. Progressive Heiserkeit. HNO 59, 283–285 (2011). https://doi.org/10.1007/s00106-010-2207-6

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  • DOI: https://doi.org/10.1007/s00106-010-2207-6

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