후두경화증 - 1증례 보고 -
Scleroma of the Larynx - A Case Report -
김헌수, 박석원, 김진만,
소속 상세정보
김헌수 ( Kim Hun-Soo )
충남대학교 의과대학 병리학교실
박석원 ( Park Seok-Won )
충남대학교 의과대학 이비인후과학교실
김진만 ( Kim Jin-Man )
충남대학교 의과대학 병리학교실
KMID : 0357920030370040287
Abstract
Scleroma of the larynx is a rare specific granulomatous disease and is usually presented as a laryngeal extension of a primary rhinoscleroma. We report an unusual case of laryngeal scleroma in a 64-year-old female patient whose presented with progressive upper respiratory obstructive symptoms lasted for 2 years. Symptoms were acutely exaggerated during the course of one month. On physical examination, the nasal mucosa was atrophic and crusted, and septal perforation was noted. The fiberoptic laryngoscopy revealed a yellowish granulated epiglottic mass with a dirty surface mimicking laryngeal cancer. Histological sectioning showed the characteristic feature of scleroma including Mikulicz cells with scattered plasma cells and some neutrophils. Warthin-starry stains and electron microscopy examination showed numerous short rods inside the cytoplasm of the Mikulicz cells. After the diagnosis, the patient underwent an emergency tracheostomy followed by long-term antibiotic treatment, and her symptoms have slowly improved.
키워드
Larynx;Scleroma;Mikulicz Cell;Warthin;Starry Stain
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