Office Based Steroid Injection for Chronic Laryngitis and Glottic Stenosis Secondary to Sarcoidosis
✍ Scribed by Matthew S. Stevens; John M. Schweinfurth
- Book ID
- 102927115
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 599 KB
- Volume
- 119
- Category
- Article
- ISSN
- 0023-852X
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✦ Synopsis
Sarcoidosis is a systemic granulomatous disease of unknown etiology. Although the lung is most frequently involved, the disease can affect any organ system of the body, including the larynx, resulting in dysphonia and airway obstruction. The cause of sarcoidosis still is unknown. The illness can be self-limited or chronic, with episodic recrudescence and remissions. The hallmarks of the disease, sarcoid granulomas, most likely are formed in response to a persistent, poorly degradable, antigenic stimulus. The mainstay of treatment has been systemic glucocorticoids and immunosuppression. However, chronic steroid use carries substantial long-term side effects and complications. If local symptoms may be managed without the use of systemic treatment, the complications of long-term steroid may be avoided.