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ENT disorders of interest

Churg-Strauss disease

Polypoid sinusitis in patients with Churg Strauss s

The autoimmune disease systemic Vasculitis Churg Strauss is associated with the presence of anti-neutrophil (antineutrophil cytoplasm antibodies-TERI Weigel) that may have lead to severe asthma, fever, Eosinophilic, renal and cardiac insufficiency, peripheral neuropathy; many patients develop pulmonary infiltrates, sinusitis, hypertension, abdominal pain, diarrhea, skin lesions (Purple, subcutaneous nodules).
L & #8217; asthma is the presenting symptom in most patients.
ENT evaluation can demonstrate the presence of rhinitis and nasal polyps framing stage.
The role of & #8217; Otolaryngologist may be important to clarify the diagnosis due to nasal polypoid growths of endometrial biopsy and #8217;: quick and safe outpatient procedure.
The ENT specialist will have to try and treat symptomatic therapy nasal problems and treating any complications. Surgical approaches to sinusitis should be evaluated very carefully given the greater tendency to recurrence of polyps in these patients and given the Comorbidities dates from the same disease.

Forestier syndrome

Forestier's disease or idiopathic skeletal HYPEROSTOSIS (DISH) is a syndrome, with no known cause, characterized by the formation of osteophytes spinal cord with ossification of paravertebral muscles and ligaments.
Osteophyte and ossifications can remain asymptomatic for long, can limit spinal movement. Sometimes they collapse the pharynx and esophagus making it difficult transit of food bolus and cause dysphagia.
Radiological monitoring is recommended in the early stages of ossifications, in the case of important dysphagia can consider surgery.

Pemphigus and Pemphigoid

Soft palate bubbles in patient suffering from Pemphigoid

Pemphigus and Pemphigoid are rare autoimmune disease in which autoantibodies attack proteins of the skin and mucous membranes causing blister.
The blisters can affect all mucous membranes, including those of the mouth and pharynx, and the skin of the whole body causing painful lesions which create a great fluid loss, electrolytes and heat. In case of extensive injuries, dehydration and electrolyte loss may also be fatal. Pemphigus Vulgaris despite a correct therapy sees significant mortality.
Often mucosal lesions of the oral cavity and oropharynx may precede the skin lesions even several months, It is therefore important that the Otolaryngologist suspects this disease to correctly identify the problem and you can set the therapy that is based on immunosuppressive drugs.

Wegener with polyangiitis (Wegener's Granulomatosis)

image14Wegener with polyangiitis (GPA or with an old terminology Wegener's Granulomatosis) is a rare Vasculitis affecting small and medium-sized vessels that may involve many organs with predilection for the upper and lower Airways and for kidneys.
Has a prevalence of 2.4-15.7 people each 100000, has a slight predilection for males (♂ : ♀ = 1,5 : 1), the first diagnosis is generally has between 40-55 years. Current treatments allow excellent survival with a good symptom control.
The first symptoms are very often at the level of the upper airways and is therefore often the Otolaryngologist physician who sees patients first and must suspect this disease and confirm the diagnosis and then follow with the patient to an immunologist.

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Oral papillomas – oropharynx

2 small papillomas of the soft palate
2 small papillomas of the soft palate

Oral papillomas are benign lesions and ’ from the ’ small oropharynx caused Human Papilloma Virus (HPV). Are generally caused by HPV types that are less likely to evolve to a malignant tumor. We recommend their removal as it can spread to healthy mucous to other parties. The transmission is solely from a human being all ’ other and predominantly through sex. In most cases, you can excise them by a simple operation under local anesthesia

Sjogren's syndrome

Coronal MRI image of PCs affected by Sjogren's with important right Parotid swelling of gh
Coronal MRI image of PCs affected by Sjogren's with important right Parotid swelling of gh

And’ a slowly progressive autoimmune disease, organ-specific systemic manifestations which is characterized by sweeping, the most important of which are represented by diminished salivary and lacrimal secretion which can cause keratoconjunctivitis Sicca respectively (xerophthalmia) and xerostomia (dry mouth). Often you can see the enlargement of the parotid glands. All Exocrine glands may be involved and therefore this syndrome is also referred to as a "esocrinopatia, autoimmune".

Sjogren's syndrome can exist in isolation (primary forms) or in combination with other immunopathological diseases (secondary forms making up about 60% of cases), predominantly in association with rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis.

Hits the 2% of the population and mostly female sex with a women:men of 9:1 Continue reading