Acute ulcerative laryngitis.We evaluated a 57-year-old nonsmoking woman who had a 2-month history of aphonia aphonia /apho·nia/ (a-fo´ne-ah) loss of voice; inability to produce vocal sounds. a·pho·ni·a n. . Her voice disorder arose after a prolonged upper respiratory infection Noun 1. upper respiratory infection - infection of the upper respiratory tract respiratory infection, respiratory tract infection - any infection of the respiratory tract . She also reported severe cough, mild sore throat, and nasal congestion. At the time of our evaluation, she was taking amoxicillin/ clavulanate, montelukast montelukast /mon·te·lu·kast/ (mon?te-loo´kast) a leukotriene antagonist used as the sodium salt in prophylaxis and chronic treatment of asthma. mon·te·lu·kast n. , and fluticasone nasal spray. Rigid videostroboscopy detected a large ulcer on her right vocal fold with moderate underlying erythema and edema (figure). We added methylprednisolone methylprednisolone /meth·yl·pred·nis·o·lone/ (-pred-nis´ah-lon) a synthetic glucocorticoid derived from progesterone, used in replacement therapy for adrenocortical insufficiency and as an antiinflammatory and immunosuppressant; also to her drug regimen and prescribed modified voice rest. The ulcer resolved within 2 weeks. [FIGURE OMITTED] From Anderson Center for Voice and Swallowing (Dr. Beaver) and the Texas Voice Center (Dr. Stasney and Dr. Rodriguez), Houston. |
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