Citation: Mehtani N, Thong G, Yaghchi CA, Sandhu G. Laryngeal sarcoidosis: An adult presenting with ENT manifestations to a tertiary referral centre. J Clin Images Med Case Rep. 2022; 3(1): 1556.

Clinical image description

A 55-year-old lady female presents to the clinic complaining of hoarseness of voice, difficulty swallowing and breathlessness on exertion. This was associated with dryness and crusting in her nose. She underwent flexible nasoendoscopy, which was suggestive of supraglottic oedema with nodules over the back of the epiglottis.

She subsequently underwent microlaryngoscopy and biopsy of the lesions. The histopathology confirmed the diagnosis of laryngeal sarcoidosis. She was treated with laser debulking, serial intralesional steroid injections, balloon dilatation to aid with her symptoms.

Sarcoidosis is a multisystemic inflammatory disease with extrathoracic manifestations, most commonly affecting the young and middle-aged, female, and black populations. Diagnosis usually requires evidence of non-caseating granulomata and, when treated, prognosis is usually favourable.

References

1. Nicholas Cereceda Monteoliva, Maral Rouhani, Elizabeth Maughan, et al. Sarcoidosis of the Ear, Nose and Throat: A review of the literature. Authorea. 2021
2. Bower JS, Belen JE, Weg JG, Dantzker DR. Manifestations and treatment of laryngeal sarcoidosis. Am Rev Respir Dis. 1980; 122: 325-332.