OLAA GROUP OF PATIENTS WITH A GROUP OF PATIENTS WITH RHEUMATIC DISEASES

LARYNGOLOGIC FINA GROUP OF PATIENTS WITH A GROUP OF PATIENTS WITH RHEUMATIC DISEASES

FIND

Henrique Furlan PaunaHenrique Furlan Pauna*, Lutiane Scaramusussa, F

rate wo

s invo

serous

eal an

of various rheumatic diseases

his wo

worldwide and functional disab

volving the connective tissue thr

us and mucous membranes of

and ocular symptoms may be th

of various rheumatic diseases

work is to identify ENT manifest

ability

throug

of all a

e the f

estatio

Conducted in 2010

Complete clinical and ENT evaluations

ry, EN

imitanciometry and flexible nasofiberlaryngoscopy

s fully

Complete clinical and ENT evaluations

ENT physical examination, audio

imitanciometry and flexible nasofiberlaryngoscopy

ully standardized and a normaliz

diome

imitanciometry and flexible nasofiberlaryngoscopy

lized f

Mean age was 41.7 years (range 22

Mean disease duration was 9.12 years (range 1

Mean age was 41.7 years (range 22 - 70)

Mean disease duration was 9.12 years (range 1-440)

may re

imme

e large

ird of

globuglobu

CNS involvement, renal tubular acidosis, B

represent an early sign of an und

mediate and aggressive immunos

rge time lag between complains a

of patients present systemic mani

bulinemia, autoimmune hepatitis, pbulinemia, autoimmune hepatitis, p

CNS involvement, renal tubular acidosis, B-cell lymp

ndiagn

osupre

and t

nifesta

s, pulms, pulm

mphom

with d

uni or bilateral, medium or high frequencies

sensorineural, conductive, gradual or sudden

hlear s

internal auditory artery

auricular chondritis (85% of the cases)

h decreased hearing acuity or d

uni or bilateral, medium or high frequencies

sensorineural, conductive, gradual or sudden

r system involvement by vascu

internal auditory artery

auricular chondritis (85% of the cases)

r discr

sensorineural, conductive, gradual or sudden

cular l

Laryngeal involvement

extremely rare

n rann ran

oid ul

ocal f

Laryngeal involvement

ange from hoarseness to respirange from hoarseness to respir

ulceration, stenosis and oedem

l fold paralysis (Kraus and Gue

piratorpirator

ema (

uerra

Nasal involvementNasal involvement

is, rhin

erforat

Strauss:Strauss:

1) prodromal stage (asthma and allergy)

ophilic

3) systemic vasculitis3) systemic vasculitis

rhinosinusitis, nasal obstrution, e

ration, erosion of the vomer, cru

1) prodromal stage (asthma and allergy)

ilic stage (eosinophilia and orga

3) systemic vasculitis3) systemic vasculitis

n, epis

crust f

ganic

Oral manifestationsOral manifestations

drynes

periodontal disease

s of ds of d

est or

and reand re

ess of lips, tongue and pharynx

periodontal disease

f dry mouth in 86% and eye symf dry mouth in 86% and eye sym

or Rose Bengal staining (46% o

recurrent parotid gland hypertr recurrent parotid gland hypertr

nx, de

symptsympt

of pa

rtrophrtroph

nstratnstrat

tificatio

rated the various ENT manifestarated the various ENT manifesta

ation is critical to the early immu

stationstation

munos

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