DISEASES OF THE LARYNX : SYPHILIS OF THE LARYNX (LUES LARYNGIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Primary , the chancre of the larynx is extremely rare: on the way to the larynx spirochete penetrates the microscopic cracks of the mucous membranes of the mouth and pharynx.
Secondary manifestations can be in the erythema of the free edge of the vocal cords, in a grayish plaques on the epiglottis, true vocal cords, cherpalonadgortannoy ligaments or edematous-infiltrative form of the outer ring of the larynx and subglottic infiltration space. Total sclerogenic. Secondary manifestations in the larynx coincide with the syphilides on the skin. The edematous-infiltrative form patients sometimes mistakenly produce a tracheotomy. Symptoms of the secondary period are reduced to hoarseness.
Tertiary manifestations: gummy infiltration, gummy ulcer, perichondrium, scars. Gunma - smooth intensely colored node, located on the epiglottis or vocal ligament (the latter has the form of a spindle), sometimes under the vocal ligament (when phonation - oval reddish infiltration). After the collapse of Gumma ulcer with sharply defined edges, with a greasy bottom. Gummy ulcer surrounded by a red rim. Gumma of the free edge of the epiglottis destroys part of it, so that the epiglottis looks like a stump. Syphilitic perichondritis often form fistulas opening into the larynx. Tertiary lesions of syphilis are not accompanied by adenopathy. After the cure of a vast star-shaped scars that violate in varying degrees of function of the larynx.
Over a long period; when the treatment duration is dramatically reduced.
Always think and remember about syphilis! Syphilitic lesions of the larynx are recognized by a long, gradual development of the disease without acute events from the side of the nose and nasopharynx and resistance to all except specific therapy. Syphilitic ulcers are usually single, circumscribed, not bleeding (cancer bleeding). Serological tests in the second period is always positive, in the third period for the most part positive.
Treatment - specific. If in doubt, you should resort to trial protevoepilepticescoe treatment. In fresh cases successfully used penicillin (see Venereal disease, Syphilis).