Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is common in young Asian women under the age of 30, and is usually characterized by fever, myalgia, fatigue, and cervical lymphadenopathy. Because patients with KFD often present with necrotic lesions that are also features of lymph node metastasis, ipsilateral or bilateral lymph node enlargement in head and neck cancer patients can be disguised as lymph node metastasis. We present an unusual case of KFD mimicking bilateral metastatic papillary carcinoma of the thyroid. This study emphasizes that KFD should be considered when diagnosing lymph nodes with necrotic lesions but without malignant cells in young women.

Inflammatory laryngeal diseases, such as viral laryngitis and acute supraglottitis, can significantly affect a patient’s quality of life, primarily through their effects on the voice and swallowing function. Deglutition disorder, or dysphagia, is a common symptom in patients with laryngeal inflammation. The symptoms of inflammatory laryngeal diseases are often similar and difficult to differentiate, regardless of the specific type of disease. In addition, several systemic diseases can affect the larynx and trachea, presenting symptoms ranging from hoarseness to airway obstruction. Differentiating between laryngeal inflammatory diseases and systemic diseases in adults and children that cause dysphagia is essential to ensure prompt and appropriate treatment.

Inflammatory laryngeal diseases, such as viral laryngitis and acute supraglottitis, can significantly affect a patient’s quality of life, primarily through their effects on the voice and swallowing function. Deglutition disorder, or dysphagia, is a common symptom in patients with laryngeal inflammation. The symptoms of inflammatory laryngeal diseases are often similar and difficult to differentiate, regardless of the specific type of disease. In addition, several systemic diseases can affect the larynx and trachea, presenting symptoms ranging from hoarseness to airway obstruction. Differentiating between laryngeal inflammatory diseases and systemic diseases in adults and children that cause dysphagia is essential to ensure prompt and appropriate treatment.

Inflammatory laryngeal diseases, such as viral laryngitis and acute supraglottitis, can significantly affect a patient’s quality of life, primarily through their effects on the voice and swallowing function. Deglutition disorder, or dysphagia, is a common symptom in patients with laryngeal inflammation. The symptoms of inflammatory laryngeal diseases are often similar and difficult to differentiate, regardless of the specific type of disease. In addition, several systemic diseases can affect the larynx and trachea, presenting symptoms ranging from hoarseness to airway obstruction. Differentiating between laryngeal inflammatory diseases and systemic diseases in adults and children that cause dysphagia is essential to ensure prompt and appropriate treatment.

BACKGROUND AND OBJECTIVES: To compare the simple spitting method and the Salivette® method of collecting saliva for detecting pepsin in patients with laryngopharyngeal reflux disease (LPRD). SUBJECTS AND METHOD: Thirty-two patients diagnosed with LPRD by 24 hour multichannel intraluminal impedance and pH monitoring were enrolled prospectively. The amounts of pepsin in saliva determined by the simple spitting method and the Salivette® method were compared. RESULTS: Simple spitting showed higher sensitivity, specificity, accuracy, positive predictive value and negative predictive value. There was no statistically significant difference between the amount of pepsin detected by simple spitting (10.07±11.68 ng/mL) versus that detected using the Salivette® method (7.09±7.27 ng/mL) (p=0.258). CONCLUSIONS: The simple spitting method has higher sensitivity, specificity and accuracy than the Salivette® method for detecting pepsin in patients with LPRD.
Electric Impedance ; Humans ; Hydrogen-Ion Concentration ; Laryngopharyngeal Reflux* ; Methods* ; Pepsin A* ; Prospective Studies ; Saliva* ; Sensitivity and Specificity

Background and Objectives: This study is the first to report on voice changes by gender and duration of infection in Korean post-COVID-19 patients. It analyzes the prevalence of voice-related symptoms, gender differences in acoustic parameters, and temporal recovery patterns of voice function.Materials and Method In this study, 85 patients with COVID-19 were recruited, voice-related symptoms were surveyed, and voice recordings of all participants were collected and analyzed by acoustic speech analysis. Results: The average age of 85 COVID-19 confirmed patients was 31 (range: 26.0–45.5) years old, and there were 35 males and 50 females. Voice analysis using the GRBAS scale and acoustic parameters was conducted among male and female patients. Results revealed varying distributions of GRBAS scores among males and females, with males exhibiting lower fundamental frequency (F0) but higher jitter and shimmer compared to females. When compared to normal adult voice values, female patients demonstrated a significant reduction in fundamental frequency, while male patients exhibited a significant increase in speaking fundamental frequency (SFF) alongside elevated jitter and shimmer. Additionally, analysis of voice parameters over time since COVID-19 diagnosis showed no significant differences among males, whereas females exhibited a significant increase in SFF after 90 days, approaching normal values. Conclusion This study emphasizes the significant impact of COVID-19 on voice production, with notable sex-specific differences and recovery patterns. These findings provide a foundation for developing targeted rehabilitation strategies to improve vocal outcomes in post-COVID-19 patients.

Background and Objectives: This study is the first to report on voice changes by gender and duration of infection in Korean post-COVID-19 patients. It analyzes the prevalence of voice-related symptoms, gender differences in acoustic parameters, and temporal recovery patterns of voice function.Materials and Method In this study, 85 patients with COVID-19 were recruited, voice-related symptoms were surveyed, and voice recordings of all participants were collected and analyzed by acoustic speech analysis. Results: The average age of 85 COVID-19 confirmed patients was 31 (range: 26.0–45.5) years old, and there were 35 males and 50 females. Voice analysis using the GRBAS scale and acoustic parameters was conducted among male and female patients. Results revealed varying distributions of GRBAS scores among males and females, with males exhibiting lower fundamental frequency (F0) but higher jitter and shimmer compared to females. When compared to normal adult voice values, female patients demonstrated a significant reduction in fundamental frequency, while male patients exhibited a significant increase in speaking fundamental frequency (SFF) alongside elevated jitter and shimmer. Additionally, analysis of voice parameters over time since COVID-19 diagnosis showed no significant differences among males, whereas females exhibited a significant increase in SFF after 90 days, approaching normal values. Conclusion This study emphasizes the significant impact of COVID-19 on voice production, with notable sex-specific differences and recovery patterns. These findings provide a foundation for developing targeted rehabilitation strategies to improve vocal outcomes in post-COVID-19 patients.

Background and Objectives: This study is the first to report on voice changes by gender and duration of infection in Korean post-COVID-19 patients. It analyzes the prevalence of voice-related symptoms, gender differences in acoustic parameters, and temporal recovery patterns of voice function.Materials and Method In this study, 85 patients with COVID-19 were recruited, voice-related symptoms were surveyed, and voice recordings of all participants were collected and analyzed by acoustic speech analysis. Results: The average age of 85 COVID-19 confirmed patients was 31 (range: 26.0–45.5) years old, and there were 35 males and 50 females. Voice analysis using the GRBAS scale and acoustic parameters was conducted among male and female patients. Results revealed varying distributions of GRBAS scores among males and females, with males exhibiting lower fundamental frequency (F0) but higher jitter and shimmer compared to females. When compared to normal adult voice values, female patients demonstrated a significant reduction in fundamental frequency, while male patients exhibited a significant increase in speaking fundamental frequency (SFF) alongside elevated jitter and shimmer. Additionally, analysis of voice parameters over time since COVID-19 diagnosis showed no significant differences among males, whereas females exhibited a significant increase in SFF after 90 days, approaching normal values. Conclusion This study emphasizes the significant impact of COVID-19 on voice production, with notable sex-specific differences and recovery patterns. These findings provide a foundation for developing targeted rehabilitation strategies to improve vocal outcomes in post-COVID-19 patients.

No abstract available.
Autonomic Nervous System ; Hypohidrosis* ; Reflex, Abnormal*

Benign fibrous histiocytoma (BFH) is a rare benign primary skeletal tumor that occurs commonly in the long bones, spine and pelvis. BFH constitutes a diagnostic challenge because it shares clinical background, radiological characteristics, and histological features with other fibrous lesions such as non-ossifying fibroma, giant cell tumor. We present a case of BFH with cystic change that occurred in the distal femur. We did not identify any case of BFH with cystic change involving the majority of the lesion that occurred in the metaepiphysis of the long bone.
Femur* ; Fibroma ; Giant Cell Tumors ; Hemorrhage ; Histiocytoma, Benign Fibrous* ; Pelvis ; Spine