• Clinical rheumatology · Jun 1988

    Case Reports

    Cricoarytenoid arthritis may be a case of emergency.

    • J B Ten Holter, F L Van Buchem, and H J Van Beusekom.
    • Department of Neurology, St. Elisabeth Hospital, Tilburg, The Netherlands.
    • Clin. Rheumatol. 1988 Jun 1; 7 (2): 288-90.

    AbstractCricoarytenoid arthritis is a frequent complication of rheumatoid arthritis. In most cases it is an insidious, progressive disorder which does not produce early symptoms. A bilateral fixation can lead to a considerable stenosis; exertional dyspnoea, however, may not be noted because mobility of most patients is restricted. We report a case of severely symptomatic cricoarytenoid arthritis in a women known to have myasthenia gravis and rheumatoid arthritis. Initially exacerbation of the myasthenia gravis, leading to severe inspiratory insuffiency was suspected. On indirect laryngoscopy, however, the correct diagnosis was made. Early diagnosis might have prevented an emergency in our patient.

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