Rheumatoid arthritis of the larynx: the importance of early diagnosis and corticosteroid therapy.
Rheumatoid arthritis is a destructive systemic disorder characterized by remissions and exacerbations. The larynx is involved in approximately 25% of these patients. The importance of early detection of laryngeal involvement by this disease and treatment with corticosteroids has not been adequately addressed in the literature. We have described five patients who had early diagnosis and successful treatment with systemic corticosteroids and/or corticosteroid injection of the cricoarytenoid joint.
Dockery
K M
KM
Department of Otolaryngology-Head and Neck Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
Sismanis
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Abedi
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D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D003413:Cricoid Cartilage; D003907:Dexamethasone / Q000008:administration & dosage / Q000627:therapeutic use; D004334:Drug Administration Schedule; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D013997:Time Factors; D014222:Triamcinolone Acetonide / Q000008:administration & dosage* / Q000627:therapeutic use
D003907:Dexamethasone; D014222:Triamcinolone Acetonide; D011241:Prednisone