Cricoarytenoid arthritis in Sjögren’s syndrome

Sève, P.; Poupart, M.; Bui‐Xuan, C.; Charhon, A.; Broussolle, C.

doi:10.1007/s00296-004-0500-y

Cited by 12 publications

(7 citation statements)

References 8 publications

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“…SS occurs in approximately 1% of the adult population; however, the disease is likely underdiagnosed . In addition to sicca symptoms, reported laryngeal manifestations associated with SS include neurological processes such as deviated laryngeal pharyngeal axis and vocal cord palsy, bamboo nodules, esophageal reflux, laryngopharyngeal reflux, and cricoarytenoid arthritis or fixation . Individuals with SS also have auditory–perceptual features of dysphonia characterized by hoarseness, breathiness, and strain—with estimates of dysphonia severity residing in the mild to mild‐to‐moderate range …”

Section: Introductionmentioning

confidence: 99%

Voice disorders in Sjögren's syndrome: Prevalence and related risk factors

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Voice disorders in Sjögren's syndrome: Prevalence and related risk factors

et al. 2014

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“…Biopsies revealed severe atrophic changes and cystic dilation of the ducts of the laryngeal glands, with marked lymphocytic infiltration and lymphoid hyperplasia. A rare case of Sjögren's syndrome and cricoarytenoid arthritis was reported by Seve et al [66]. A 42 year-old woman with arthritis and dysphonia, who met the criteria of Sjögren's syndrome, responded to steroid administration with improvement of her symptoms.…”

Section: Discussionmentioning

confidence: 92%

Laryngeal Involvement in Connective Tissue Disorders. Is it Important for Patient Management?

Iacovou

Vlastarakos

Nikolopoulos³

2012

Indian J Otolaryngol Head Neck Surg

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Connective tissue disorders (CTDs) involve multiple organ systems and may have a significant impact on the overall health and quality of life of the affected individuals. The present paper aims to review the current knowledge on the laryngeal manifestations of CDTs, and describe the available diagnostic and treatment options. Systematic literature review in Medline and other database sources. Information from related books was also included. Prospective controlled, double-blind prospective, prospective, and transversal cohort studies, case series, case reports, systematic reviews, and consensus papers. Laryngeal involvement mostly occurs in rheumatoid arthritis (13-75% of patients). It is not uncommon in active and progressive clinical course, though can also occur in silent or inactive CDTs. The crico-arytenoid joint is the most commonly affected site. Common symptoms include throat pain, dyphonia and hoarseness. Careful clinical assessment of the larynx by flexible naso-endoscopy, video-stroboscopy, or direct laryngoscopy, and appropriate imaging are required for pertinent patient management. Stridor is a sign of a life-threatening condition, and may require prompt surgical intervention. However, mild symptomatology may mislead clinicians, and the related diagnosis may be significantly delayed. The current evidence as identified in the present study suggest that laryngeal manifestations of CDTs are often underdiagnosed, due to a range of nonspecific symptoms. A multidisciplinary team approach with ENT input is necessary to improve the overall patient management.

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“…CAJA was most frequently reported in Rheumatoid Arthritis [ 3 , 5 , 9 , 10 ], with a prevalence that varies between 32-75% on laryngoscopy [ 9 ]. CAJA is also found in Sjogren’s syndrome [ 2 ], Ankylosing Spondylitis [ 4 ], Systemic Lupus Erythematosus [ 5 - 7 ], Juvenile Chronic Arthritis [ 8 ], and autoimmune hepatitis [ 1 ]. To our knowledge, no case of CAJA in a patient with DM was reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Cricoarytenoid joint arthritis: a possible complication of dermatomyositis

Farah¹,

Tabesh²,

Okais³

et al. 2020

PAMJ

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Cricoarytenoid joint arthritis is most frequently reported in Rheumatoid Arthritis and in other systemic diseases such as Sjogren’s syndrome, Systemic Lupus Erythematosus, Ankylosing Arthritis, Juvenile Chronic Arthritis, and autoimmune hepatitis but it has not been reported in dermatomyositis. In this paper, we report the case of a 43 years-old woman treated for dermatomyositis who presented with hoarseness and severe odynophagia. The laryngoscopy revealed the presence of an extensive white swelling of the left cricoarytenoid joint with reduced mobility of the left vocal cord, consistent with left cricoarytenoid joint arthritis, which has not previously been described in dermatomyositis to our knowledge. Treatment with high doses of prednisone produced a complete resolution of the laryngeal symptoms.

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Cricoarytenoid arthritis in Sjögren’s syndrome

Cited by 12 publications

References 8 publications

Voice disorders in Sjögren's syndrome: Prevalence and related risk factors

Voice disorders in Sjögren's syndrome: Prevalence and related risk factors

Laryngeal Involvement in Connective Tissue Disorders. Is it Important for Patient Management?

Cricoarytenoid joint arthritis: a possible complication of dermatomyositis

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