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  Vol. 132 No. 9, September 2006 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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 •Nutritional and Metabolic Disorders
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 •Laryngology/ Speech/ Language Pathology
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Pathology Quiz Case 2: Diagnosis

Arch Otolaryngol Head Neck Surg. 2006;132:1015-1016.

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

Diagnosis: Subglottic amyloidosis

Amyloidosis of the larynx is rare, representing fewer than 1% of all benign laryngeal lesions.1 Subglottic stenosis is usually traumatic in origin. Other benign etiologies include relapsing polychondritis, amyloidosis, sarcoidosis, and Wegener granulomatosis.2 Laryngeal amyloid deposits are characterized by extracellular subepithelial proteinaceous deposits, which may have a nodular or diffuse pattern.3 The disease occurs most commonly in the fifth to seventh decades of life, with a male predominance (male-female ratio, 2:1).2

Amyloidosis can affect many organs simultaneously (systemic amyloidosis) or just 1 organ or tissue (localized amyloidosis). Laryngeal amyloidosis is usually localized.3 Chronic inflammation, infection, and vocal abuse have been proposed as causative factors.3-4 The sites of preference in the laryngotracheal region in order of frequency are the ventricle, false vocal cord, true vocal cord, epiglottis, aryepiglottic fold, subglottis, and trachea.2 Symptoms, when present, are caused by the physical presence, size, and location of the tumor. Subglottic amyloidosis, which may . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 2
Vibhuti Ranjan Mahanta, Jerry Sharp, Ivan A. Robinson, and Sharat Mohan
Arch Otolaryngol Head Neck Surg. 2006;132(9):1013.
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