Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-26T02:29:47.922Z Has data issue: false hasContentIssue false

Histiocytosis: an unusual cause of dysphagia, hoarseness and stridor

Published online by Cambridge University Press:  29 June 2007

J. W. Nicol*
Affiliation:
Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow G4 OSF
G. I. Stables
Affiliation:
University Department of Dermatology, Western Infirmary, Glasgow, Gil 6NT
K. Mackenzie
Affiliation:
Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow G4 OSF
*
Dr J. W. Nicol, M.B., Ch.B., Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow G4 OSF

Abstract

We present a patient with established histiocytosis who developed dysphagia, retching, regurgitation, hoarseness and stridor. These symptoms were managed with carbon dioxide laser vaporization, electively on three occasions, and once as an urgent procedure, while awaiting radiotherapy, to control her airway.

Histiocytosis is a rare cause of a number of otolaryngological syndromes, but there has been no previous record of this disease causing laryngopharyngeal symptoms. This paper discusses the classification of histiocytosis, and describes our management of this rare and intriguing case.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alessi, D. M., Macen, D. (1992) Histiocytosis of the head and neck in a paediatric population. Archives of Otolaryngology—Head and Neck Surgery 118(9): 945948.CrossRefGoogle Scholar
Broadbent, V. (1986) Favourable prognostic features in histiocytosis X: bone and absence of skin disease. Archives of the Diseases of Children 61: 12191221.CrossRefGoogle ScholarPubMed
Coldiron, B. M., Cruz, P. D., Freeman, R. G., Sontheimer, R. D. (1988) Benign non-X histiocytosis; a unique case bridging several of the non-X histiocytic syndrnmes. Journal of the American Academy of Dermatology 18: 12821289.CrossRefGoogle Scholar
El-Sayed, S., Brewin, T. B. (1992) Histiocytosis X: does radiotherapy still have a role? Clinical Oncology (Royal College of Radiology) 4(1): 2731.CrossRefGoogle ScholarPubMed
Fartasch, M., Vigneswaran, N., Diepgen, T. L., Hornstein, O. P. (1990) Immunohistochemical and ultrastructural study of histiocytosis X and non-X histiocytoses. Journal of the American Academy of Dermatology 23: 885892.CrossRefGoogle ScholarPubMed
Gianotti, F., Caputo, R. (1985) Histiocytic syndromes: a review. Journal of the American Academy of Dermatology 13: 383404.CrossRefGoogle ScholarPubMed
Jaffe, R. (1987) Pathology of histiocytosis X. Perspectives in Paediatric Pathology 9: 447.Google ScholarPubMed
Lichtenstein, L. (1953) Histiocytosis X. Archives of Pathology 56: 84102.Google ScholarPubMed
Michelson, M. R., Bonfiglio, M. (1977) Eosinophilic granuloma and its variations. Orthopedic Clinics of North America 8: 933945.CrossRefGoogle Scholar
Stables, G. I., Mackie, R. M. (1991) Generalized eruptive histiocytoma. British Journal of Dermatology 126: 196199.CrossRefGoogle Scholar
Writing Group of the Histiocyte Society (1987) Histiocytosis syndromes in children. Lancet 1: 208209.Google Scholar