Epiglottic tuberculosis in a patient treated with steroids for Addison's disease.
Isolated epiglottic tuberculosis (TBC) is uncommon and has rarely been described. We report the case of a 40-year-old man with tuberculous involvement of the epiglottis and primary adrenal insufficiency. Endoscopic examination showed a severely swollen epiglottis with granulomatous and partially necrotic mucosa. The patient has been treated with glucocorticoids for four years due to primary adrenocortical insufficiency. We therefore assume that tuferculous involvement of epiglottis is due to the reactivation of pulmonary TBC. We also discuss differential diagnosis and management of epiglottic TBC and Addison's disease.
Egeli
Erol
E
Department of Otorhinolaryngology, Düzce Faculty of Medicine, University of Abant Izzet Baysal, Konuralp, Duzce, Turkey.
Oghan
Fatih
F
Alper
Murat
M
Harputluoglu
Ugur
U
Bulut
Ismet
I
D000224:Addison Disease / Q000150:complications / Q000188:drug therapy; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D004724:Endoscopy; D004825:Epiglottis / Q000473:pathology*; D005938:Glucocorticoids / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D014387:Tuberculosis, Laryngeal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*
D000995:Antitubercular Agents; D005938:Glucocorticoids