Hoarseness of voice as the herald of granulomatosis with polyangiitis

Autor: Turki O Al-Hussain, Mohamed Said Abdelsalam, Mohamed Rashwan, Mohammed Mahdi Althaf
Rok vydání: 2014
Předmět:
Zdroj: BMJ case reports. 2014
ISSN: 1757-790X
Popis: A previously healthy 15-year-old boy presented with hoarseness of voice and progressive dyspnoea. A nodule was found over his vocal cord which was excised. Unfortunately, histopathology was inconclusive. The diagnosis was presumed to be allergic laryngitis and he was managed with oral antihistamines and intramuscular hydrocortisone with a good response. Six weeks later he felt unwell with deteriorating dyspnoea, productive cough with blood-tinged sputum and fever. He also reported decreasing urine output that was tea coloured. On presentation vitals were stable except for low-grade fever. He was in moderate distress with tachypnoea. There was no skin rash or arthralgia. History was negative for bronchial asthma. …
Databáze: OpenAIRE