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硬结病有多种不平常的表现,Handousa与Elwi(1958)报告5例似鼻内肿瘤而无任何硬结病征象,Badrawy(1966)见7例骨受累,Yassin等(1971)报告6例局限性鼻硬结病,Malik等(1974)见1例仅为中鼻甲肥大。喉硬结病少见,Shaw与Martin(1961)只找到5例。本文报告1例仅发于喉而无鼻病变的孤立性喉硬结病,作者认为是文献中前所未见的。患者女性41岁,声嘶2个月,6天来有进行性呼吸困难,并见两声带广泛水肿,即在局麻下行紧急气管切开术。鼻、鼻咽或口咽及全身均无特殊发现,经青霉素注射、防腐剂漱口及内服多种维生素治疗无效。5天后行直接喉镜见两声带与声门下区水肿,声门
There are a number of unusual manifestations of scleroderma. Handousa and Elwi (1958) report 5 similar intranasal tumors without any signs of sclerosis, 7 with bone involvement by Badrawy (1966), and 6 with Yassin et al. (1971) Nasal sclerosis, Malik et al. (1974) See only one case of hypertrophic middle turbinate. Laryngeal sclerosis is uncommon, with only 5 found in Shaw and Martin (1961). This article reports a case of isolated laryngeal disease that occurs only in the larynx without any nasal lesions, and is considered by the authors as never before seen. A 41-year-old woman with hoarseness for 2 months had progressive dyspnea 6 days and had extensive edema with two vocalizations, ie emergency tracheotomy under local anesthesia. Nasal, nasopharyngeal or oropharyngeal and systemic no special discovery, penicillin injection, preservatives gargle and oral administration of multiple vitamin treatment is invalid. 5 days after the direct laryngoscope see two vocal cord and subglottic edema, glottis