Acute ulcerative laryngitis.

We evaluated a 57-year-old nonsmoking woman who had a 2-month history of aphonia. Her voice disorder arose after a prolonged upper respiratory infection. She also reported severe cough, mild sore throat, and nasal congestion. At the time of our evaluation, she was taking amoxicillin/ clavulanate, montelukast, 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 to her drug regimen and prescribed modified voice rest. The ulcer resolved within 2 weeks.

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From Anderson Center for Voice and Swallowing (Dr. Beaver) and the Texas Voice Center (Dr. Stasney and Dr. Rodriguez), Houston.