title: Bilateral vocal cord palsy as the sole presentation of acquired syphilis.
abstract: Bilateral vocal cord palsy is almost always caused by neck surgery, particularly surgery of the thyroid. We report a case of bilateral vocal cord palsy requiring emergency surgery to relieve the airway obstruction as the sole presentation of acquired syphilis. As the incidence of syphilis worldwide is rising, this unusual presentation may give clinicians a different perspective on the disease.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, International Islamic University Malaysia, Jalan Hospital, 26100 Kuantan, Pahang, Malaysia.
authors.forename: Zamzil Amin
authors.initials: ZA
authors.lastname: Asha'ari
authors.forename: Mohd Sayuti
authors.initials: MS
authors.lastname: Razali
authors.forename: Raja Ahmad Rl
authors.initials: RA
authors.lastname: Ahmad