title: Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement.
abstract: We herein report a rare case of sarcoidosis presenting as bilateral vocal cord paralysis due to bilateral vagal nerve involvement. A 72-year-old woman with uveitis of the left eye complained of hoarseness and aspiration due to bilateral vocal cord paralysis. An endobronchial needle aspiration biopsy specimen of the mediastinal lymph nodes showed non-caseating epithelioid cell granuloma. Total protein and cell concentrations in the cerebrospinal fluid were increased. We diagnosed her to have sarcoidosis with bilateral vagal nerve involvement. Corticosteroid therapy improved her symptoms of hoarseness and aspiration. Sarcoidosis should therefore be taken into consideration as a potential cause of bilateral vocal cord paralysis.
authors.affiliation: Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Yamasue
authors.forename: Shin-Ichi
authors.initials: S
authors.lastname: Nureki
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Ushijima
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Mukai
authors.forename: Akihiko
authors.initials: A
authors.lastname: Goto
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Kadota
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007249:Inflammation / Q000150:complications; D008198:Lymph Nodes / Q000473:pathology; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology*; D014630:Vagus Nerve / Q000473:pathology*; D014826:Vocal Cord Paralysis / Q000175:diagnosis*