| Home | E-Submission | Sitemap | Contact Us |  
The Korean Journal of Pathology 2003;37(4): 287-290.
Scleroma of the Larynx: A Case Report.
Hun Soo Kim, Seok Won Park, Jin Man Kim
1Department of Pathology, Chungnam National University School of Medicine, Daejeon, Korea. jinmank@cnu.ac.kr
2Department of Otolaryngology, Chungnam National University School of Medicine, Daejeon, Korea.
Scleroma of the larynx is a rare specific granulomatous disease and is usually presented as alaryngeal extension of a primary rhinoscleroma. We report an unusual case of laryngeal scleromain a 64-year-old female patient whose presented with progressive upper respiratory obstructivesymptoms lasted for 2 years. Symptoms were acutely exaggerated during the course of one month.On physical examination, the nasal mucosa was atrophic and crusted, and septal perforationwas noted. The fiberoptic laryngoscopy revealed a yellowish granulated epiglottic mass with adirty surface mimicking laryngeal cancer. Histological sectioning showed the characteristic featuresof scleroma including Mikulicz cells with scattered plasma cells and some neutrophils.Warthin-starry stains and electron microscopy examination showed numerous short rods insidethe cytoplasm of the Mikulicz cells. After the diagnosis, the patient underwent an emergency tracheostomyfollowed by long-term antibiotic treatment, and her symptoms have slowly improved.
Key Words: Larynx; Scleroma; Mikulicz Cell; Warthin; Starry Stain
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
Supplement  Supplement
Related articles
Bile Granuloma Mimicking Peritoneal Seeding: A Case Report  2018 September;52(5)
Duodenal Adenocarcinoma of Brunner Gland Origin: A Case Report  2018 May;52(3)
Clear Cell Papulosis: A Case Report  2016 September;50(5)
Primary Follicular Lymphoma of the Duodenum: A Case Report  2016 November;50(6)
Tailgut Cyst in a Neonate: A Case Report  2016 July;50(4)