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2.1
Laryngeal Syphilis
Syphilis of the Larynx

Presentation

Case description: We present a case of a 45-year-old man who initially presented with an isolated lesion in the aryepiglottic fold which was biopsied and diagnosed as a syphilitic lesion. [aijoc.com]

Abstract The case of a 73-year-old lady with late congenital pharyngo-laryngeal syphilis is presented. Its finding was at a potentially difficult intubation during the induction of general anaesthesia. [cambridge.org]

Himi Medicine European Archives of Oto-Rhino-Laryngology 2002 A 21-year-old man who presented with marked unilateral cervical lymphadenopathy had no evidence of oropharyngeal chancres, skin or genital lesions, and serologic tests for syphilis were positive [semanticscholar.org]

This case report was presented orally as an abstract at the 8th Annual Residents Meeting of the American College of Oral and Maxillofacial Surgeons on November 2 to 3, 2019, in Dallas, TX. [journals.lww.com]

Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. [amazon.com]

Respiratoric

  • Hoarseness

    “Hoarseness is a symptom of utmost significance and calls for a separate consideration as a subject because of the frequency of its occurrence as a distant signal of malignancy and other conditions” Chevalier Jackson Causes of hoarseness of voice: Inflammatory [sites.google.com]

    Hoarseness is a harsh, rough, raspy quality to the voice. Hoarseness is generally caused by irritation of, or injury to, the vocal cords. This trauma to the vocal cords leads to a change in the pitch of the voice. [medicinenet.com]

    Abstract A 51-year-old male consulted our clinic complaining of hoarseness. The typical cutaneous sign (split papule) was observed as well as pharyngo-laryngitis. The serological test was immediately tried, and secondary syphilis was diagonsed. [jstage.jst.go.jp]

    TUBERCULOSIS OF LARYNX- SYMPTOMS• Throat pain• Referred otalgia• Hoarseness with weakness of voice (earliest symptom)• Painful speech• dysphagia 5. [slideshare.net]

  • Laryngeal Disease

    Microlaryngoscopy with biopsy of the interior of the larynx is now a frequent procedure in the diagnosis of laryngeal disease. [books.google.com]

    SARCOIDOSIS OF LARYNX• Chronic idiopathic granulomatous disease also called Besnier-Boeck disease• Head and neck manifestations in 10% of whom only minor proportion have laryngeal disease• Disease is usually self limiting• Pathology non specific granuloma [slideshare.net]

    The final diagnosis was laryngeal syphilis. Pros and Cons Evaluation of Disease of Uncertain Etiology Inflammatory disease limited to the larynx may mimic the initial presentation of laryngeal cancer ( Figs. 204.1 – 204.3 ). [radiologykey.com]

    This dispensary grew, became famous, and eventually was moved to larger quarters, becoming the Hospital for Diseases of the Throat. It was the first specialized facility for the diagnosis and treatment of laryngeal diseases. [emerituscollege.asu.edu]

  • Expiratory Stridor

    Expiratory stridor is rare in laryngeal stenosis, while it is charac teristic of traeheal stenosis. The head is bent forward in tracheal ste nosis. [gluedideas.com]

Treatment

Despite adequate medical treatment, he progressively developed a bilateral vocal fold immobility requiring tracheostomy, and subsequently a laser posterior cordectomy for definitive treatment. [aijoc.com]

She was asymptomatic; there was no evidence of active disease on either clinical examination or serology and no treatment was required. However, it is important to differentiate this condition from others which may require treatment. [cambridge.org]

The text also discusses the etiology, pathology, symptoms, diagnosis, and treatment of the diseases of the accessory sinuses of the nose. [books.google.com]

treatment by inhalation• Endoscopic removal of necrotic tissue to maintain airway• tracheostomy 15. [slideshare.net]

Prognosis

Rarely, in severe infections such as those with herpes viruses, laryngeal erosion and necrosis may occur. [ 1 ] Prognosis In acute laryngitis, the prognosis is usually excellent. [patient.info]

The prognosis depends upon the underlying disease, but is serious in every case, because there may be danger to life. The pronosis is most favorable in syphilitic cases. A chronic hoarseness and stenosis must always be considered. Treatment. [gluedideas.com]

• Painless asymptomatic condition may be discovered incidentally• Prognosis is good• Treatment is anti tubercular drugs 21. MYCOSIS OF LARYNX• Following mycosis can occur in the larynx1. Candidiasis2. Coccidioidmycosis3. Paracoccidioidmycosis4. [slideshare.net]

The condition is a very grave one; the prognosis depends largely on the associated pulmonary infection - if that be extensive, a very small amount of laryngeal mischief resists treatment, while, if the case be the contrary, a very extensive mischief may [theodora.com]

Etiology

The text also discusses the etiology, pathology, symptoms, diagnosis, and treatment of the diseases of the accessory sinuses of the nose. [books.google.com]

Any condition, regardless of etiology, that is suspicious for deep infiltration or cancer should be studied primarily with CT if imaging is desired as part of the evaluation. [radiologykey.com]

Etiology and pathogenesis SYPHILIS OF THE LARYNX (LUES LARYNGIS) Primary, the chancre of the larynx is extremely rare: on the way to the larynx spirochete penetrates the microscopic cracks of the mucous membranes of the mouth and pharynx. [lecheniebolezni.com]

Epidemiology

with tracheal stenosis Hurler’s Syndrome Epidemiology : with tracheal stenosis Mucous Plug (see Mucous Plug, [[Mucous Plug]]) Epidemiology : tracheobronchial obstruction by mucous plugging is common in patients with lung disease and infection in the [mdnxs.com]

Definitions, differential diagnosis, and epidemiology. Am J Surg Pathol 1996; 20(1):103-111. ‎ Seite 91 - Everett LA, Glaser B, Beck JC, Idol JR. Buchs A, Heyman M, Adawi F, Hazani E, Nassir E. [books.google.de]

The Oslo study of the natural history of untreated syphilis: An epidemiologic investigation based on a restudy of the Boeck-Bruusgaard material a review and appraisal. J Chronic Dis. 1955;2(3):311-44. Olansky S. [bpac.org.nz]

Epidemiology Accurate figures regarding acute laryngitis are not available, as the condition often goes unreported. [patient.info]

Post-surgical intervention is warranted to restore laryngeal muscle strength, agility and coordination. [20] Epidemiology [ edit ] Due to the complex and controversial nature of this condition, [3] epidemiological (incidence) reports vary significantly [en.wikipedia.org]

Pathophysiology

This suggests that differences in pathophysiology between LPR and GERD patients are part of the basis for the contrasting symptomology. [nature.com]

Laryngeal manifestations are rare, particularly as a sole presentation, and can result from different pathophysiologic mechanisms, such as direct damage to the vocal folds and cartilages, subglottic stenosis, vagal or recurrent laryngeal nerve neuropathy [aijoc.com]

Pathophysiology and Patterns of Disease Epiglottitis/supraglottitis causes severe mucosal disease in the supraglottis with secondary edema that spreads freely within the loose spaces of the supraglottis. [radiologykey.com]

The basic pathophysiology is inflammation of the mucosa lining the vocal folds and larynx. If infection is involved, white cells aggregate to remove infectious material from the area. [patient.info]

Cricoid necrosis as the last phase of pathological changes on the cricoid cartilage can cause serious pathophysiological disturbances ( Gatland, 1988 ). [intechopen.com]

Prevention

Screening for Syphilis: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016;315:2328-37. 54. Workowski KA, Bolan GA; Centers for Disease Control and Prevention. [std.uw.edu]

They have to be also aware of the preventive measures and precautions to be taken, which include: Avoidance of multiple sex partners Practice of safe sex (use of condoms that prevent entry of the syphilis bacteria) Excessive craving for drugs and alcohol [dovemed.com]

Centers for Disease Control and Prevention 1600 Clifton Rd. [www2a.cdc.gov]

Prevention and screening: --Avoidance of sex is the only completely reliable method of prevention but is an impractical public health measure. --Latex or polyurethane condoms are effective but protect covered areas only. [quizlet.com]

PubMed View Article Google Scholar Lanier Y, Sutton MY: Reframing the context of preventive health care services and prevention of HIV and other sexually transmitted infections for young men: new opportunities to reduce racial/ethnic sexual health disparities [bmcresnotes.biomedcentral.com]

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