LARYNGEAL MANIFESTATIONS OF GOUT

被引：23

作者：

GUTTENPLAN, MD

TOWNSEND, MJ

HENDRIX, RA

BALSARA, G

机构：

[1] HOSP UNIV PENN,DEPT OTORHINOLARYNGOL & HUMAN COMMUN,PHILADELPHIA,PA 19104

[2] MED COLL PENN,DEPT PATHOL,PHILADELPHIA,PA 19129

来源：

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 1991年 / 100卷 / 11期

关键词：

GOUT; LARYNX;

D O I：

10.1177/000348949110001108

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Gout is a disorder of purine metabolism characterized by hyperuricemia with rare involvement of the head and neck. We present a 72-year-old woman with a known history of gout who presented with hoarseness and a lesion suspicious for carcinoma of the larynx. Endoscopic biopsy revealed a tophus of the true vocal cord with characteristic birefringent crystalline deposits and giant cell granuloma. There have been limited reports of gouty involvement of the larynx, more commonly involving cricoarytenoid arthritis. Tophi of the laryngeal soft tissues are exceedingly rare. In this paper we will discuss the pathophysiology and management of this interesting clinical entity.

引用

页码：899 / 902

页数：4

共 17 条

[1]

EWART W, 1986, GOUT GOUTINESS, P133

[2] GOUTY TOPHUS OF THE TEMPOROMANDIBULAR-JOINT WITH IMPINGEMENT OF THE EUSTACHIAN-TUBE [J].

FAAS, I .

LARYNGOLOGIE RHINOLOGIE OTOLOGIE VEREINIGT MIT MONATSSCHRIFT FUR OHRENHEILKUNDE, 1983, 62 (12) :574-577

[3]

FERLITO A, 1974, ANN OTO-LAR CHIR C-F, V91, P199

[4]

GARROD AB, 1863, NATURE TREATMENT GOU, P1982

[5]

GOODMAN M, 1976, ARCH OTOLARYNGOL, V102, P27

[6]

JACKSON C, 1942, DIS INJURIES LARYNX, P272

[7]

KELLY WN, 1985, TXB RHEUMATOLOGY, P372

[8] GOUTY INVOLVEMENT OF LARYNX - REPORT OF A CASE AND REVIEW OF LITERATURE [J].

LEFKOVITS, AM .

ARTHRITIS AND RHEUMATISM, 1965, 8 (5P2) :1019-+

[9]

LITTEN M, 1876, VIRCHOWS ARCH, V66, P129

[10]

MARION RB, 1972, ARCHIV OTOLARYNGOL, V96, P161

← 1 2 →