title: An uncommon case of dyspnea with unilateral laryngeal paralysis in acromegaly.
abstract: A 61-year-old man with obstructive sleep apnea syndrome and normal BMI complained of dyspnea. Nasofibroscopy revealed a global and major oedema of the glottis and supraglottis and also a paralysis of the left vocal fold. CT-scan pointed out a spontaneous hyperdensity of the left arytenoid cartilage. A tracheostomy was performed. Clinical examination revealed large hands and macroglossy with high IGF1 rate. MRI confirmed a supracentimetric pituitary adenoma. To our knowledge, this is the first description of a case of acute respiratory distress due to unilateral larynx paralysis leading to acromegaly diagnosis. This is due to submucosal hypertrophy and vocal cord immobility.
authors.affiliation: Otorhinolaryngology, Head and Neck Surgery, Dupuytren Teaching Hospital, 2 Avenue Martin Luther King, 87100 Limoges cedex, France. Electronic address: justine.lerat@chu-limoges.fr.
authors.forename: Justine
authors.initials: J
authors.lastname: Lerat
authors.affiliation: Internal Medicine, Dupuytren Teaching Hospital, Limoges, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Lacoste
authors.affiliation: Otorhinolaryngology, Head and Neck Surgery, Dupuytren Teaching Hospital, 2 Avenue Martin Luther King, 87100 Limoges cedex, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Prechoux
authors.affiliation: Otorhinolaryngology, Head and Neck Surgery, Dupuytren Teaching Hospital, 2 Avenue Martin Luther King, 87100 Limoges cedex, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Aubry
authors.affiliation: Internal Medicine, Dupuytren Teaching Hospital, Limoges, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Nadalon
authors.affiliation: Internal Medicine, Dupuytren Teaching Hospital, Limoges, France.
authors.forename: Kim Heang
authors.initials: KH
authors.lastname: Ly
authors.affiliation: Otorhinolaryngology, Head and Neck Surgery, Dupuytren Teaching Hospital, 2 Avenue Martin Luther King, 87100 Limoges cedex, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Bessede
mesh_terms: D000172:Acromegaly / Q000150:complications / Q000175:diagnosis*; D000236:Adenoma / Q000150:complications / Q000175:diagnosis*; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery; D001193:Arytenoid Cartilage / Q000000981:diagnostic imaging; D004417:Dyspnea / Q000209:etiology*; D004487:Edema / Q000150:complications / Q000175:diagnosis*; D049912:Growth Hormone-Secreting Pituitary Adenoma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy; D014826:Vocal Cord Paralysis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
keywords: Acromegaly; Dyspnea; Obstructive sleep apnea syndrome; Vocal cord paralysis