Left Vocal Cord Paralysis in Cases of Systemic Lupus erythematosus

Abstract

Two cases, a 41-year-old female and a 53-year-old female presenting with systemic lupus erythematosus and left vocal cord paralysis, are described in this paper. In both cases, laryngeal lupus and pulmonary hypertension were not detected. The laryngeal symptoms and signs were not improved by treatment with steroids, despite the systemic lupus erythematosus being under control.

Diagnostic Testing for Vocal Fold Paralysis: Survey of Practice and Evidence‐Based Medicine Review

“…Very few of the reviewed articles, however, provided support for testing in these cases. There are a handful of case reports regarding SLE and vocal fold paralysis noted in the review 30,33,37,38 but little else to support the practice of routinely ordering an ANA test by 33% of the survey respondents overall and 61% of those who order blood tests in general.…”

Cost‐effectiveness of routine computed tomography in the evaluation of idiopathic unilateral vocal fold paralysis

“…28 Additionally, systemic autoimmune diseases such as rheumatoid arthritis and lupus, as well as systemic exposures, such as from radiation therapy and radioactive iodine administration, have been reported in the literature. [28][29][30][31] As CT of the neck, including evaluation down to the level of the thoracic inlet, is widely employed in the initial workup of undifferentiated UVFP, understanding radiologic nuances is important for interpretation of results. However, in the absence of any obvious and significant space-occupying lesions, such as tumors or metastases, familiarity with subtle details may be helpful.…”

Vocal cords palsy in systemic lupus erythematosus patient: diagnostic and therapeutic difficulties

“…Vocal cords palsy developed without features of larynx inflammation which suggested a neurological background. In the literature, there are cases described where larynx was involved including vocal cords palsy in the course of SLE [13, 14]. However, its direct cause has not been identified.…”