A Case of Left Vocal Cord Palsy and Pulmonary Hypertension in a Patient with Systemic Lupus Erythematosus.
- Author:
Sang Jo MIN
1
;
Chun Euk KIM
;
Hyun Ju SHIN
;
Hyun Jeong KIM
;
Kwang Sun AN
;
Dong Kyu KIM
;
Dong IL LEE
;
Choong Won LEE
Author Information
1. Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. choong@wmbh.co.kr
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Pulmonary hypertension;
Vocal cord palsy
- MeSH:
Airway Obstruction;
Dyspnea;
Edema;
Humans;
Hypertension, Pulmonary*;
Lupus Erythematosus, Systemic*;
Neuritis;
Pulmonary Artery;
Recurrent Laryngeal Nerve;
Ulcer;
Vasa Nervorum;
Vasculitis;
Vocal Cord Paralysis*;
Vocal Cords*
- From:The Journal of the Korean Rheumatism Association
2004;11(3):281-285
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Laryngeal involvement in systemic lupus erythematosus (SLE) is rare. It can range from mild ulcerations, vocal cord paralysis, and edema to necrotizing vasculitis with airway obstruction. The causes of vocal cord paralysis included vasculitis of the vasa nervorum, neuritis, thromboembolic effect on recurrent laryngeal nerves, and compression of the left recurrent laryngeal nerve by an enlarged left pulmonary artery. Few cases on the association of vocal cord palsy and pulmonary hypertension in SLE patient have been reported. We report a case of left vocal cord palsy and pulmonary hypertension in a patient with SLE who experienced improvement of vocal cord palsy and dyspnea after steroid pulse therapy.