Sarcoidosis presenting as bilateral vocal cord paralysis from bilateral compression of the recurrent laryngeal nerves from thoracic adenopathy.
Bilateral true vocal fold paralysis is rarely attributable to inflammatory diseases. We describe what appears to be the first case in the medical literature of sarcoidosis presenting as isolated, bilateral true vocal cord paralysis resulting from compressive bilateral mediastinal adenopathy. The presenting symptoms, clinical outcome, radiographs and laryngeal findings are discussed in detail. Sarcoidosis should therefore be added to the differential diagnosis of bilateral vocal fold paralysis.
Coffey
Charles S
CS
Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Vallejo
Stacey L
SL
Farrar
Emily K
EK
Judson
Marc A
MA
Halstead
Lucinda A
LA
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007828:Laryngoscopy; D007830:Larynx / Q000000981:diagnostic imaging / Q000473:pathology; D008206:Lymphatic Diseases / Q000150:complications* / Q000473:pathology; D008297:Male; D009408:Nerve Compression Syndromes / Q000150:complications / Q000175:diagnosis; D012009:Recurrent Laryngeal Nerve / Q000473:pathology; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology