title: [Progressive hoarseness].
abstract: A 31-year-old female teacher presented with a 6-month history of progressive hoarseness. The rigid laryngeal endoscopy showed corresponding transversal cream-yellow nodular lesions in the submucosal space of the middle third of both vocal folds. These are characteristic for bamboo nodes which are rare and strongly associated with autoimmune disease. In the present case a hitherto undiscovered Sjögren syndrome was diagnosed. After surgical excision, local steroid therapy and voice training a considerable voice improvement could be achieved.
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Friedrich-Schiller-University Jena, Lessingstr. 2, 07740, Jena, Deutschland. Thomas.Bitter@med.uni-jena.de
authors.forename: T
authors.initials: T
authors.lastname: Bitter
authors.forename: G F
authors.initials: GF
authors.lastname: Volk
authors.forename: P
authors.initials: P
authors.lastname: Lehmann
authors.forename: C
authors.initials: C
authors.lastname: Wittekindt
authors.forename: O
authors.initials: O
authors.lastname: Guntinas-Lichius
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006685:Hoarseness / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D012859:Sjogren's Syndrome / Q000175:diagnosis* / Q000628:therapy*