﻿First presentation of sarcoidosis with severe obstructive sleep apnoea and epiglottic involvement.
Sarcoidosis of the upper respiratory tract (SURT) is rare but well documented. We present a patient whose first presentation with sarcoidosis was with dysphonia, upper airways obstruction and severe obstructive sleep apnoea (OSA) . Systemic steroids and hydroxycholoroquine led to improvement in phonation, endoscopic appearance and upper airway obstruction with significant improvement in Apnoea Hypopnoea Index (AHI) on polysomnography.
Department of Respiratory Medicine, Galway University Hospital, Galway, Ireland. jamaleldeen@gmail.com
M
M
Ahmed
I
I
Sulaiman
R
R
Rutherford
J J
JJ
Gilmartin
D004825:Epiglottis; D006801:Humans; D007830:Larynx; D017286:Polysomnography; D012507:Sarcoidosis; D020181:Sleep Apnea, Obstructive