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  • Title: [A case of intubation granuloma treated with steroid inhalation].
    Author: Miyauchi S, Nagatomo Y, Kubo K, Umekita K, Ueno S, Takajou I, Kai Y, Okayama A.
    Journal: Nihon Kokyuki Gakkai Zasshi; 2010 Jul; 48(7):488-91. PubMed ID: 20684210.
    Abstract:
    A 36-year-old woman was given a diagnosis of hemophagocytic syndrome associated with systemic lupus erythematosus, and was treated with high-dose methylprednisolone and etoposide. She needed endotracheal intubation for mechanical ventilation because of respiratory failure. She developed hoarseness and stridor 69 days after extubation. A pedunculated mass under her glottis was observed by the laryngoscopy. Development of a laryngeal granuloma due to long-term contact with the endotracheal tube was considered, although she was continuously given oral prednisolone (22.5 mg/day) even after extubation. She was treated with inhalation of fluticasone propionate and her symptoms, e.g. hoarseness, decreased. Disappearance of the polypoid lesion was seen on day 26. A laryngeal granuloma due to intubation developed, even with the systemic administration of steroids; but it was successfully treated with steroid inhalation.
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