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Supraglottic involvement of sweet's syndrome: A case report
Otolaryngology Head and Neck Surgery Volume 113 Number 2
symptoms in the development of sphenoid sinus mucocele as well as the need for early and aggressive surgical intervention to avoid catastrophic consequences. The English literature on sphenoid sinus mucocele is reviewed with emphasis on the etiology of mucocele formation, the common presenting symptoms and signs, differential diagnosis, and various surgical approaches available to the surgeon. 72 Glossopharyngeal Neuralgia Associated With Syncope ERIC M. GENDEN, MD, and ROBERTBAHADORI, MD, St. Louis, Mo.
Glossopharyngeal neuralgia is a rare condition, occurring 1/70 to 1/100 times less frequently than trigeminal neuralgia. This case report describes a 71-year-old man who developed tic douloureux 2 years ago and was treated with carbamazepine. Four days before admission he developed severe paroxysms of pain radiating from the right side of the throat to his right ear complicated by life-threatening dysrhythmia. Paroxysms of neuralgia were associated with complete heart block and syncope that lasted up to 20 seconds. Examination revealed a trigger zone at the right tonsil. The glossopharyngeal neuralgia was cured by posterior fossa rhizotomy. This case exemplifies a unique presentation of an uncommon condition. Rarely does glossopharyngeal neuralgia produce life-threatening symptoms. Most important, complete resolution of this patient's debilitating symptom after a posterior fossa rhizotomy allowed the patient to resume a normal lifestyle after previously requiring constant cardiac monitoring. 73 Otolaryngologic Changes in Patients With Rheumatoid Arthritis MILISAVLJEVI(~ R. DUSAN, MD, MARKOVI(~ ZORICA, MD, MILISAVLJEVI(~ ~[, LJILJANA, MD, and MARKOVi(~ JELENA, MD, Serbia, Yugoslavia
During the development of rheumatoid arthritis changes in the otolaryngolic region such as joint arthritis of the middle ear and as a result the damage in hearing, talking cricoarytenoid joint, and the appearance of pain, difficulties in swallowing and breathing and hoarseness are possible. Some cases of septum perforation are also described. Objective: Our aim was to take into account the frequency of otolaryngologic changes in patients with rheumatoid arthritis. Methods: In the examined group 100 patients had rheumatoid arthritis. With the standard ear, nose, and throat examination otoscopy, rhinoscopy, oropharyngoscopy, indirect laryngoscopy, audiometry, endovideostroboscopy otolaryngologic changes were examined. The control group consisted of 25 patients with osteoarthritis peripheral joints of similar ages.
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P 18 !
Results: In the examined group of patients with rheumatoid arthritis the presence of hipoacusia was found in 75% easier to average degree, chronic atrophic tonsils in 72%, post-tonsillectomy state in 18%, deviate septi nasi in 25%, chronic rhinitis in 30%, septi nasi perforation and chronic supurative otitis in 1.0%, tinnitus aurium in 6%, chronic laryngitis easier degree in 52%, paresis plicae vocalis in 3%, and in one case hemangioma plicae vocalis dex was found. Conclusion: The high percentage of otolaryngologic changes in patients with rheumatoid arthritis imposes the need for systematic research with the clinical and additional methods otorhinolaryngology area examination. The presentation of the results will be shown with statistic preparation and videotape of endovideostroboscopy. 74 Supraglottic Involvement of Sweet's Syndrome: A Case Report LOUIS J. RONDINELLA, MD, and DAVID CUNNINGHAM, MD, Philadelphia and Bryn Mar, Pa.
The case report of a patient with supraglottic involvement of Sweet's syndrome is presented. Sweet's syndrome, also known as acute febrile neutrophilic dermatosis, is an idiopathic disease that manifests with fevers, leukocytosis, and cutaneous erythematous plaques infiltrated by neutrophils. This syndrome usually occurs in middle-age women after an upper respiratory or intestinal infection. The cutaneous lesions typically occur on the face, neck, chest, and extremities. Although there is no known etiology of Sweet's syndrome, it may be associated with an underlying inflammatory or neoplastic disease. Sweet's syndrome responds well to systemic corticosteriods, although the recurrence rate may be as high as 25%. Sweet's syndrome has been rarely reported to involve the oral cavity, but to our knowledge there has not been a reported case of its involvement of the supraglottic larynx. 75 Salivary Duct Carcinoma of the Parotid Gland M A R Y A N N P. W A L L MD, and G, RICHARD HOLT, MD, Chesapeake, Va., and San Antonio, Tex,
Salivary duct carcinoma (SDC) is a recently defined histologically and clinicopathologically distinctive neoplasm usually of the major salivary glands. Since it was first described in 1968, only sporadic cases and small series have appeared in the literature. The characteristic histologic features of SDC include infiltrative borders, circumscribed intraductal epithelial nests having a papillary, cribriform, and/or solid architecture and central necrosis (comedo necrosis). The neoplasm is remarkable for its histologic resemblance to ductal carcinomas of the breast and prostate. A unique case of a 66-year-old woman with SDC of the parotid gland metastatic to the breast is presented. This case is
symptoms in the development of sphenoid sinus mucocele as well as the need for early and aggressive surgical intervention to avoid catastrophic consequences. The English literature on sphenoid sinus mucocele is reviewed with emphasis on the etiology of mucocele formation, the common presenting symptoms and signs, differential diagnosis, and various surgical approaches available to the surgeon. 72 Glossopharyngeal Neuralgia Associated With Syncope ERIC M. GENDEN, MD, and ROBERTBAHADORI, MD, St. Louis, Mo.
Glossopharyngeal neuralgia is a rare condition, occurring 1/70 to 1/100 times less frequently than trigeminal neuralgia. This case report describes a 71-year-old man who developed tic douloureux 2 years ago and was treated with carbamazepine. Four days before admission he developed severe paroxysms of pain radiating from the right side of the throat to his right ear complicated by life-threatening dysrhythmia. Paroxysms of neuralgia were associated with complete heart block and syncope that lasted up to 20 seconds. Examination revealed a trigger zone at the right tonsil. The glossopharyngeal neuralgia was cured by posterior fossa rhizotomy. This case exemplifies a unique presentation of an uncommon condition. Rarely does glossopharyngeal neuralgia produce life-threatening symptoms. Most important, complete resolution of this patient's debilitating symptom after a posterior fossa rhizotomy allowed the patient to resume a normal lifestyle after previously requiring constant cardiac monitoring. 73 Otolaryngologic Changes in Patients With Rheumatoid Arthritis MILISAVLJEVI(~ R. DUSAN, MD, MARKOVI(~ ZORICA, MD, MILISAVLJEVI(~ ~[, LJILJANA, MD, and MARKOVi(~ JELENA, MD, Serbia, Yugoslavia
During the development of rheumatoid arthritis changes in the otolaryngolic region such as joint arthritis of the middle ear and as a result the damage in hearing, talking cricoarytenoid joint, and the appearance of pain, difficulties in swallowing and breathing and hoarseness are possible. Some cases of septum perforation are also described. Objective: Our aim was to take into account the frequency of otolaryngologic changes in patients with rheumatoid arthritis. Methods: In the examined group 100 patients had rheumatoid arthritis. With the standard ear, nose, and throat examination otoscopy, rhinoscopy, oropharyngoscopy, indirect laryngoscopy, audiometry, endovideostroboscopy otolaryngologic changes were examined. The control group consisted of 25 patients with osteoarthritis peripheral joints of similar ages.
Scientific Posters
P 18 !
Results: In the examined group of patients with rheumatoid arthritis the presence of hipoacusia was found in 75% easier to average degree, chronic atrophic tonsils in 72%, post-tonsillectomy state in 18%, deviate septi nasi in 25%, chronic rhinitis in 30%, septi nasi perforation and chronic supurative otitis in 1.0%, tinnitus aurium in 6%, chronic laryngitis easier degree in 52%, paresis plicae vocalis in 3%, and in one case hemangioma plicae vocalis dex was found. Conclusion: The high percentage of otolaryngologic changes in patients with rheumatoid arthritis imposes the need for systematic research with the clinical and additional methods otorhinolaryngology area examination. The presentation of the results will be shown with statistic preparation and videotape of endovideostroboscopy. 74 Supraglottic Involvement of Sweet's Syndrome: A Case Report LOUIS J. RONDINELLA, MD, and DAVID CUNNINGHAM, MD, Philadelphia and Bryn Mar, Pa.
The case report of a patient with supraglottic involvement of Sweet's syndrome is presented. Sweet's syndrome, also known as acute febrile neutrophilic dermatosis, is an idiopathic disease that manifests with fevers, leukocytosis, and cutaneous erythematous plaques infiltrated by neutrophils. This syndrome usually occurs in middle-age women after an upper respiratory or intestinal infection. The cutaneous lesions typically occur on the face, neck, chest, and extremities. Although there is no known etiology of Sweet's syndrome, it may be associated with an underlying inflammatory or neoplastic disease. Sweet's syndrome responds well to systemic corticosteriods, although the recurrence rate may be as high as 25%. Sweet's syndrome has been rarely reported to involve the oral cavity, but to our knowledge there has not been a reported case of its involvement of the supraglottic larynx. 75 Salivary Duct Carcinoma of the Parotid Gland M A R Y A N N P. W A L L MD, and G, RICHARD HOLT, MD, Chesapeake, Va., and San Antonio, Tex,
Salivary duct carcinoma (SDC) is a recently defined histologically and clinicopathologically distinctive neoplasm usually of the major salivary glands. Since it was first described in 1968, only sporadic cases and small series have appeared in the literature. The characteristic histologic features of SDC include infiltrative borders, circumscribed intraductal epithelial nests having a papillary, cribriform, and/or solid architecture and central necrosis (comedo necrosis). The neoplasm is remarkable for its histologic resemblance to ductal carcinomas of the breast and prostate. A unique case of a 66-year-old woman with SDC of the parotid gland metastatic to the breast is presented. This case is