Vol.19 No.4

Case Report

Left vocal cord paralysis in systemic lupus erythematosus

Authors

Michael Hughes1,2 , Jason Hill2

  • Department of Neurology, King George Hospital, London, UK
  • Department of Surgery, Harlow Hospital, 54, Northdown Road, Hornchurch, RM11 1NE, UK
Received:

23 January 2009

Accepted:

14 April 2009

Published online:

21 May 2009

Full Text

PDF　(member's only)

Abstract

Left vocal cord palsy is a well-recognised rare complication of SLE. We encountered a gentleman who during an acute flare developed left vocal fold palsy (VCP). Immunosuppression was increased, but this only produced partial improvement. VCP is commonly but not exclusively caused by recurrent laryngeal nerve palsy. Other causes may affect phonation, including mucosal ulceration, vasculitis and pulmonary hypertension. There is limited literature on the diagnosis of and treatment options for VCP in SLE.

Key words

Systemic lupus erythematosus (SLE) - Vasculitis - Vocal cord - Immunosuppression