Cricoarytenoid arthritis: A cause of laryngeal obstruction

Leicht, Michael; Harrington, Thomas M.; Davis, Duane E.

doi:10.1016/s0196-0644(87)80527-9

Cited by 29 publications

(12 citation statements)

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“…Although "sleep disturbance" is reported by two-thirds of RA patients (7), their sleep physiology and objective evidence of daytime sleepiness have not been fully characterized. Sleep abnormalities in RA patients might include I ) interference of sleep by joint pain, resulting in sleep deprivation (&lo), 2) disordered breathing during sleep, related to anatomic lesions including craniovertebral junction abnormalities, such as atlantoaxial dislocation (1 1,12), acquired micrognathia ( 13), or cricoarytenoid joint involvement (14), or 3) periodic leg movements of sleep (nocturnal myoclonus) (15). Other causes of daytime fatigue in RA patients, however, might include 1) depression (16), 2) chronic insomnia, 3) "nonrestorative sleep," as described in patients with fibrositis (17,18), or 4) some as-yet-unidentified factor.…”

mentioning

confidence: 99%

Sleep fragmentation in rheumatoid arthritis

Mahowald

Bundlie

et al. 1989

Arthritis & Rheumatism

139

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Fatigue is commonly reported by patients with rheumatoid arthritis (RA), and it is frequently used to evaluate disease activity and response to therapy. We theorized that the feeling of fatigue in patients with RA may be a manifestation of disturbance of sleep. Sixteen patients with chronic, active RA, who were selected for early onset of fatigue (<6 hours after morning awakening), were extensively evaluated by formal all‐night polysomnographic recording and multiple sleep latency testing (MSLT). Although no sleep deprivation was found, all patients had some type of marked disturbances of sleep, including unanticipated sleep apnea (2 patients), frequent movement of extremities (all 16 patients), and frequent arousal (all 16 patients). The alpha‐delta sleep pattern was present in 13 patients, and 7 were found by MSLT to be hypersomnolent. None of the patients accurately recognized the degree of their sleep disruption. Our findings from the MSLT indicate that fatigue in patients with RA may be a manifestation of sleep fragmentation, rather than a nonspecific constitutional symptom.

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confidence: 99%

Sleep fragmentation in rheumatoid arthritis

Mahowald

Bundlie

et al. 1989

Arthritis & Rheumatism

139

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“…Upper airway obstruction is relatively uncommon. 4,5 Croup is very common in infants and young children and therefore the likely diagnosis in any child presenting with stridor and respiratory distress. However, atypical cases which respond poorly to steroids and show recurrence should prompt reviewing the possible differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Cricoarytenoid arthritis presenting as croup

Masilamani

Gandhi

2009

J R Soc Med

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“…[252][253][254][255][256] Although rheumatoid arthritis is the most common cause of this condition, it also may be associated with bacterial infections, mumps, diphtheria, syphilis, tuberculosis, Reiter's syndrome, ankylosing spondylitis, systemic lupus erythematosus, gout, progressive systemic sclerosis, and other conditions. 257 The cricoarytenoid joint has a synovial lining and bursa. Its mobility is vital for speech, respiration, and protection from aspiration.…”

Section: Rheumatoid Arthritismentioning

confidence: 99%