Life-threatening subglottic stenosis of granulomatosis with polyangiitis: A case report

Jin An, Jae Won Song

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Granulomatosis with polyangiitis (GPA) is an autoimmune disease characterized by necrotizing granulomatous inflammation. Subglottic stenosis, which is defined as narrowing of the airway below the vocal cords, has a frequency of 16-23% in GPA. Herein, we present the case of a 39-year-old woman with subglottic stenosis manifesting as life-threatening GPA, which was recurrent under systemic immunosuppressive therapy. The patient underwent an emergency tracheostomy, intratracheal intervention, such as carbon dioxide (CO2) laser surgery and intralesional steroid injection via laryngomicroscopic surgery, and laryngotracheal resection with remodeling. Severe subglottic stenosis treatment requires active intratracheal intervention, surgery, and systemic immunosuppressive therapy.

Original languageEnglish
Article number423
JournalMedicina
Volume57
Issue number5
DOIs
Publication statusPublished - May 2021

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Granulomatosis with polyangiits
  • Rituximab
  • Steroid
  • Subglottic stenosis
  • Wegener’s granulomatosis

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