Laryngeal involvement in rheumatoid arthritis

Beirith, Sarah Cristina; Ikino, Cláudio Márcio Yudi; Pereira, Ivânio Alves

doi:10.5935/1808-8694.20130040

Cited by 28 publications

(21 citation statements)

References 26 publications

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“…Other symptoms that should alert one to the possibility of CAJA include foreign body sensation in the throat, dyspnea and pain radiating to one or both ears. Upper airway obstruction with stridor is relatively uncommon but should imply an urgent airway management [ 9 , 10 , 12 ]. With regard to diagnosis, low-voltage radiographs, computed tomography (CT) and magnetic resonance imaging (MRI) are useful for detecting upper airway obstruction, if present, and the diagnosis of CAJA can be confirmed by laryngoscopy, as in our case.…”

Section: Discussionmentioning

confidence: 99%

“…An inflammatory process that could be isolated as in infection, or associated to other systemic signs and symptoms, causes this entity. CAJA is described in the literature as part of Rheumatoid Arthritis, Sjogren’s syndrome, Systemic Lupus Erythematosus, Ankylosing Arthritis, Juvenile Chronic Arthritis, and autoimmune hepatitis [ 1 - 10 ]. CAJA could be sometimes mistaken for a laryngeal mass of neoplastic origin [ 9 ], and can cause severe airway obstruction if not treated in its early stage.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cricoarytenoid joint arthritis: a possible complication of dermatomyositis

Farah¹,

Tabesh²,

Okais³

et al. 2020

PAMJ

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“…7) The prevalence of laryngeal involvement in rheumatoid arthritis ranges from 0.3% to 12%. 2,[8][9][10][11] The most common laryngeal manifestation of rheumatoid arthritis is the involvement of the cricoarytenoid joint, occurring in about 66% of laryngeal involvement cases, which may cause cricoarytenoid joint fixation and airway obstruction. 9) Other symptoms may include laryngeal mucosal edema, myositis of the intrinsic laryngeal muscles, inflammatory masses or rheumatoid nodules, and bamboo nodes.…”

Section: Discussionmentioning

confidence: 99%

A Case of Rheumatoid Nodules Involving the Larynx

Seo¹,

Choi²,

Bang³

et al. 2019

Korean J Otorhinolaryngol-Head Neck Surg

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“…The possible causes of RA remain unclear at present, which renders it difficult to treat. A number of strategies have been used to treat RA that target different pathological stages of the disease ( 1 , 2 ). The primary symptom of RA is inflammation of the synovial lining of the articular cartilage.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of destruction in a collagen-induced arthritis rat model: Bony spur formation

Yang

Luo

2017

Experimental and Therapeutic Medicine

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Over the past 40 years, the collagen-induced arthritis (CIA) animal model has been widely used as a model of rheumatoid arthritis (RA). However, no model is able to completely depict the characteristics of cartilage destruction to date. In the later stage of joint cartilage destruction, bony spurs form in RA. This bony spur formation is an important symptom in the pathological development of RA. In the present study, CIA was used to elucidate the pathological process of bony spur formation. Joint damage and spur formation in the animal model was detected by radiology and histology. Radiology identified bony spurs in the knee and foot joints, which worsened as the disease progressed. Furthermore, following observations of histological sections, fusion and damage of the articular cartilage, as well as a higher number of osteoclasts, were identified. Previous results have determined that bony spurs may be involved in another pathological process that occurs during the later stages of RA. Therefore, further studies investigating this symptom are required to improve the understanding of RA and facilitate the development of an appropriate treatment for RA.

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Laryngeal involvement in rheumatoid arthritis

Abstract: The prevalence of laryngeal disorders in RA patients was 72.4% and the prevalence of dysphonia was 12.8%. There was no significant relationship between laryngeal disorders and disease activity.

Cited by 28 publications

References 26 publications

Cricoarytenoid joint arthritis: a possible complication of dermatomyositis

Cricoarytenoid joint arthritis: a possible complication of dermatomyositis

A Case of Rheumatoid Nodules Involving the Larynx

Evaluation of destruction in a collagen-induced arthritis rat model: Bony spur formation

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