[Isolated laryngeal involvement as the first manifestation of Wegener's disease. A case report].
A 74-year-old woman with a 4-month history of hoarseness had a granulomatous lesion of the vocal cords by laryngoscopy and a normal physical examination. Wegener's granulomatosis was confirmed by biopsy. Early treatment with trimethoprim-sulfamethoxazole prevented the evolution toward a more severe systemic form of the disease. The patient remains asymptomatic a year and a half after treatment.
Grijalba Uche
M
M
Servicio de ORL, Hospital Virgen del Camino, Pamplona.
López Cousillas
A
A
Medina Sola
J J
JJ
Saiz Calleja
M A
MA
D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D004338:Drug Combinations; D004359:Drug Therapy, Combination; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000188:drug therapy; D006685:Hoarseness / Q000175:diagnosis; D006801:Humans; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use
D000890:Anti-Infective Agents; D004338:Drug Combinations; D014295:Trimethoprim; D013420:Sulfamethoxazole
Afectación laríngea aislada como primera manifestación de la enfermedad de Wegener. A propósito de un caso.