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James R. Yarnal, PhD, DO, FACA; Joseph A. Golish, MD, FCCP; Frits van der Kuyp, MD, FCCP

Arch Otolaryngol. 1981;107(8):503-505.

Abstract
• A typical patient had laryngeal tuberculosis (TB) mimicking carcinoma. The accompanying patient complaints from a representative literature survey are discussed. The difficulty of clinically differentiating laryngeal carcinoma from TB or another granulomatous process is stressed, as is the utility of obtaining a simple chest roentgenogram, a TB skin test, and, when indicated, a sputum examination. The pathogenesis of laryngeal TB and the treatment of health care personnel exposed to such a patient also is mentioned. The spectrum of TB, as well as the spectrum of physicians treating TB, is changing. The presence of a laryngeal process in a patient with active pulmonary TB is an important association that must not be overlooked.

(Arch Otolaryngol 1981;107:503-505)

Author Affiliations
From the Department of Pulmonary Disease, Cleveland Clinic Foundation (Drs Yarnal and Golish); and Department of Pulmonary Diseases, Case Western Reserve University, and the Cuyahoga County Hospital (Dr van der Kuyp), Cleveland. Dr Yarnal is now with Michigan State University, East Lansing.

Footnotes
Accepted for publication Sept 24, 1980.

Reprint requests to B-311 W Fee Hall, Michigan State University, College of Osteopathic Medicine, Department of Internal Medicine, East Lansing, MI 48824 (Dr Yarnal).

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