A case of unusual presentation of stridor by laryngeal pemphigus

Subrahmanyam C, Dasari P, Rao IS, Mohammad K, Voggu A

Pdf Page Numbers :- 233-236

Subrahmanyam C^1,*, Pratibha Dasari¹, Satish Rao I², Kashif Mohammad², and Anand Voggu³

¹Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

²Department of Pathology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

³Department of Dermatology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. C. Subhramanyam, MS., ENT (PGI, Chandigarh), Consultant Surgeon, Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India. Email: drcsubrahmanyam@gmail.com

Received 7 June 2021; Revised 6 September 2021; Accepted 14 September 2021; Published 22 September 2021

Citation: Subrahmanyam C, Dasari P, Rao IS, Mohammad K, Voggu A. A case of unusual presentation of stridor by laryngeal pemphigus. J Med Sci Res. 2021; 9(4):233-236. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-36

Copyright: © 2021 Subrahmanyam C et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Pemphigus is an uncommon condition of mucosal and dermatological manifestations. Isolated laryngeal pemphigus without skin lesions is extremely rare. Supraglottic lesions are common in laryngeal pemphigus. Laryngeal manifestations may vary from simple hoarseness, throat pain, dysphagia to severe edema causing airway obstruction. This may necessitate tracheostomy. Laryngeal pemphigus with stridor is an extremely rare presentation. A 57-year-old gentleman, presented to emergency room with stridor. To secure the air way an emergency tracheostomy was done, followed by direct laryngoscopy and biopsy under anesthesia. A suspicion of laryngeal malignancy was made clinically. But to our surprise histopathology revealed pemphigus. Dermatologist opinion was taken and the patient was treated accordingly. He had very good response and was decannulated. Patient was followed regularly.

Keywords: Pemphigus larynx; treatment; tracheostomy; biopsy; steroids