[Acute pseudo-membranous laryngitis in epidermolysis bullosa acquisita]

Rev Med Interne. 2010 May;31(5):e7-10. doi: 10.1016/j.revmed.2009.05.010. Epub 2010 Apr 21.
[Article in French]

Abstract

Epidermolysis bullosa acquisita is a rare entity belonging to the auto-immune cutaneous blistering disorders of the dermo-epidermal junction. Clinical manifestations are generally cutaneous including the development of sub-epidermal blisters. Mucosal manifestations should be systematically looking for, but laryngeal involvement remains uncommon. We report an 81-year-old woman who presented with dysphagia, dyspnea and dysphonia as the presenting features of laryngeal involvement of an epidermolysis bullosa acquisita. This is the tenth reported case in the literature. We describe our diagnostic approach and the therapeutic management, comparing them with the literature.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Disease
  • Aged, 80 and over
  • Anti-Infective Agents / therapeutic use
  • Dapsone / therapeutic use
  • Deglutition Disorders / etiology
  • Drug Therapy, Combination
  • Dysphonia / etiology
  • Dyspnea / etiology
  • Epidermolysis Bullosa Acquisita / complications*
  • Epidermolysis Bullosa Acquisita / diagnosis
  • Epidermolysis Bullosa Acquisita / drug therapy
  • Epidermolysis Bullosa Acquisita / pathology*
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Laryngitis / complications
  • Laryngitis / diagnosis
  • Laryngitis / drug therapy
  • Laryngitis / etiology*
  • Laryngitis / pathology*
  • Prednisone / therapeutic use
  • Treatment Outcome

Substances

  • Anti-Infective Agents
  • Glucocorticoids
  • Dapsone
  • Prednisone