EARLY VOCAL FOLD PRESENTATION OF AUTOI1VIMUNE DISEASES
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Rheumatic diseases usually promote several systemic disorders, which can affect blood vessels, mucosa and serosa of the aerodigestive tract Laryngeal involvement of autoimrnune disease maybe in the form of vocal fold nodules and/or cricoarytenoid joint inflammation .Descriptions of vocal fold lesions related to autoimmune diseases are rare and focus mainly on rheumatoid nodules. But vocal fold pathology in autoimmune disease which is recently discovered called the bamboo node and its features are dfferent from those of rheumatoid nodules. Objective (s) : to determine the relation between focal fold nodules (Bamboo nodule) and autoimmune diseases. Patients and Methods: 20 patients suffering from hoarseness of voice with focal fold nodules (Bamboo nodule: white transverse submucosal lesion in the vocal fold) before surgical excision, all patients were subjected to laryngostroboscopy, clinical rheumatologic assessment, laboratory and immunological tests for autoimmune diseases. Results: 20 patients with vocal fold bamboo nodule were included in the study, 80% were females, 12 cases proved to be systemic lupus erythematosus (60%), 6 cases with scleroderma (30%), 2 cases with mixed connective tissue disease (10%). Conclusion: patients with vocal fold nodules with high erythrocyte e sedimentation rate should be suspected to have an underlying autoimmune disease. Vocal fold Bamboo nodule is considered to be an early evidence of autoimmune disease so medical treatment should be taken after its surgical excision.