title: Epiglottic tuberculosis in a patient treated with steroids for Addison's disease.
abstract: 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.
authors: Department of Otorhinolaryngology, Düzce Faculty of Medicine, University of Abant Izzet Baysal, Konuralp, Duzce, Turkey.
authors: Erol
authors: E
authors: Egeli
authors: Fatih
authors: F
authors: Oghan
authors: Murat
authors: M
authors: Alper
authors: Ugur
authors: U
authors: Harputluoglu
authors: Ismet
authors: I
authors: Bulut
mesh_terms: 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*
chemical_list: D000995:Antitubercular Agents; D005938:Glucocorticoids