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Libo Qiu, MD; Margaret S. Brandwein-Gensler, MD; Peak Woo, MD; Joan Gil, MD; Beverly Y. Wang, MD
Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY

Arch Otolaryngol Head Neck Surg. 2004;130:115.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 48-year-old African American woman presented with a 15-year history of sarcoidosis, which had been confirmed by a Kveim test, and a 6-year history of episodic intervals of upper airway obstruction, which had required tracheostomy. Steroid therapy had stabilized her airway condition, and she was no longer tracheostomy dependent. Recently, she had experienced increasing shortness of breath and exertional dyspnea, which were not relieved by steroid therapy.

A computed tomographic scan demonstrated laryngotracheal stenosis. Videolaryngoscopy revealed a supraglottic laryngeal mass with glottic and subglottic extension (Figure 1). Physical examination revealed a cushinoid pattern of obesity. Chest examination demonstrated obvious inspiratory stridor with transmitted breath sounds. Laser microlaryngoscopy was performed, the laryngeal lesion was excised, and a corticosteroid(methylprednisolone acetate, 20 mg) was locally injected. Histologic examination demonstrated multiple epithelioid granulomas, some of . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2004;130(1):116.
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