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Initial presentation and fatal complications of linear IgA bullous dermatosis in the larynx and pharynx

Published online by Cambridge University Press:  08 March 2006

Katsuro Sato
Affiliation:
Departments of Head and Neck Surgery and Department of Otolaryngology, Niigata University Faculty of Medicine, Niigata, Japan.
Hideyuki Hanazawa
Affiliation:
Otolaryngology, Niigata University Graduate School of Medical and Dental Sciences and Department of Otolaryngology, Niigata University Faculty of Medicine, Niigata, Japan.
Yuichiro Sato
Affiliation:
Department of Otolaryngology, Niigata University Faculty of Medicine, Niigata, Japan.
Jun Watanabe
Affiliation:
Department of Otolaryngology, Niigata University Faculty of Medicine, Niigata, Japan.
Sugata Takahashi
Affiliation:
Otolaryngology, Niigata University Graduate School of Medical and Dental Sciences and Department of Otolaryngology, Niigata University Faculty of Medicine, Niigata, Japan.
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Abstract

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Two cases of linear IgA bullous dermatosis initially presenting as ulcerative lesions in the larynx and pharynx are reported. It was difficult to diagnose and treat the lesions, but they were finally diagnosed from the histopathological findings of accompanying skin lesion specimens. One of the patients required a tracheostomy due to increased airway stenosis by a laryngeal lesion. Despite general corticosteroid administration this could not be completely resolved, although partial opening of the glottis was observed, and the patient died of accidental tracheostomy tube complications during home care. Although there are no reports of this disease in the otolaryngological field, these rare diseases involving the skin and entire body should be considered in the differential diagnosis of laryngeal and pharyngeal ulcerative lesions, including airway stenosis. Furthermore, simple and safe procedures for relieving airway stenosis should be selected for rare and difficult-to-diagnose airway disease, prior to the final diagnosis.

Type
Research Article
Copyright
© 2005 Royal Society of Medicine Press