Otolaryngological Manifestations of Systemic Diseases
Journal Title: Scholarly Journal of Otolaryngology - Year 2018, Vol 1, Issue 3
Abstract
Ear-Nose-Throat (ENT) manifestations are among the most frequent clinical features of systemic and rheumatologic disorders. A great variety of pathologies have been described including relapsing polychondritis, granulomatosis, sarcoïdosis and connectivities. Sometimes, ENT manifestations are less common but may be the presenting features and represent a diagnostic challenge. A close collaboration between ENT specialists, rheumatologists, and internists is mandatory to improve the diagnostic and therapeutic management of these patients. Systemic diseases are a broad nosologically framework grouping mainly connectivities, primary vasculitis, systemic granulomatosis and more rarely some related diseases (systemic amyloidosis, primary antiphospholipid syndrome, auto-inflammatory syndromes or hereditary recurrent fevers). Multi-organ involvements as well as an immune dysfunction are the common signature of these affections [1]. As a result, these diseases are characterized by an important clinical polymorphism making their diagnosis a real challenge for the clinician. Otorhinolaryngological (ENT) lesions are among the most frequent manifestations observed during these diseases [2-7] but are most often neglected or trivialized [8,9]. On the other hand, they can in some cases inaugurate the diagnosis and even condition the prognosis [3,8,10,11]. Indeed, in the Iguelouane N et al series, ENT involvement was noted in 67.5% of the 200 patients followed in an Internal Medicine department for systemic diseases; this involvement was indicative of systemic disease and/ or announcing her relapse in 37.5% of cases, and in seven of these patients, ENT involvement had resolved the diagnostic problem of systemic disease [12].
Authors and Affiliations
Chiraz Halwani, Safa Trabelsi, Cyrine Zgolli, Khémaies Akkari, Rania Ben Mhamed, Salem Bouomrani
Keywords
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- EP ID EP599107
- DOI 10.32474/SJO.2018.01.000113
- Views 44
- Downloads 0
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