Laryngeal gout

A review of the literature reveals only 12 reported cases of laryngeal gout. We describe three further cases of laryngeal gout, the largest series ever published. The first case is previously undescribed acute gouty cricoarytenoiditis resulting in acute airway embarrassment requiring tracheotomy, an...

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Bibliographic Details
Published in:Journal of laryngology and otology 2002-02, Vol.116 (2), p.140-142
Main Authors: Tsikoudas, A., Coatesworth, A. P., Martin-Hirsch, D. P.
Format: Article
Language:English
Subjects:
(RF) Otorhinolaryngology
Aged
Biological and medical sciences
Gout
Gout - diagnostic imaging
Gout - pathology
Gynecology. Andrology. Obstetrics
Humans
Laryngeal Diseases
Laryngeal Diseases - pathology
Male
Mammary gland diseases
Medical sciences
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Thyroid Diseases - diagnostic imaging
Thyroid Diseases - pathology
Tomography, X-Ray Computed - methods
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:A review of the literature reveals only 12 reported cases of laryngeal gout. We describe three further cases of laryngeal gout, the largest series ever published. The first case is previously undescribed acute gouty cricoarytenoiditis resulting in acute airway embarrassment requiring tracheotomy, and then we describe two cases of chronic tophaceous involvement of the thyroid lamina with computed tomography (CT) images of this process. The paucity of literature on this subject may not only be due to rarity but also lack of clinical awareness. Gouty involvement of the larynx must be considered in any patient with a history of gout who presents with hoarseness, odynophagia, dysphagia, stridor or neck lump. Acute airway compromise may require tracheotomy, whereas chronic airway problems may necessitate endoscopic tophi removal, lateralization procedures or even permanent tracheostomy.
ISSN:0022-2151
1748-5460
DOI:10.1258/0022215021909890