Respir Case Rep. 2024; 13(3): 128-132 | DOI: 10.5505/respircase.2024.96530

Subglottic Stenosis Due to Sjögren's Syndrome

Görkem Berna Koyun¹, Serdar Berk¹, Þule Karadayý^2
1Department of Chest Diseases, Sivas Cumhuriyet University, Sivas, Türkiye
²Department of Thoracic Surgery, Sivas Cumhuriyet University, Sivas, Türkiye

A 36-year-old female patient diagnosed with asthma at an external center was referred to us after her complaints did not improve, at which point, hoarseness was added to the complaints. Stridor was identified in a respiratory system examination. Tracheal stenosis was seen in a postero-anterior chest X-ray and a fixed airway obstruction in a respiratory function test, upon which, the patient was referred to the ear, nose and throat department. Subglottic stenosis was detected on a neck computerized tomography and a bronchoscopy evaluation. The etiology of subglottic stenosis was evaluated, collagen tissue markers were positive, and the patient was asked to undergo a rheumatology consultation. The patient was subsequently diagnosed with Sjögren syndrome based on a salivary gland biopsy result. This rare case is presented to underline the need to keep Sjögren syndrome in mind as an etiology of subglottic stenosis.

Keywords: Sjögren's syndrome, subglottic stenosis, chest disease

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Sjögren Sendromuna Baðlý Subglottik Darlýk

Görkem Berna Koyun¹, Serdar Berk¹, Þule Karadayý^2
1Sivas Cumhuriyet Üniversitesi Hastanesi, Göðüs Hastalýklarý Anabilim Dalý, Sivas
²Sivas Cumhuriyet Üniversitesi Hastanesi, Göðüs Cerrahisi Anabilim Dalý, Sivas

Otuz altý yaþýnda kadýn hasta dýþ merkezde astým tanýsý almýþ olup þikayetlerinin düzelmemesi üzerine tarafýmýza baþvurmuþtur. Bu süreçte þikayetlerine ses kýsýklýðý da eklendi. Hastanýn solunum sistemi muayenesinde stridor mevcuttu. Postero-anterior akciðer grafisinde trakeal darlýk görüldü ve solunum fonksiyon testinde sabit hava yolu obstrüksiyonu mevcuttu. Bu neden ile hasta kulak burun boðaz konsülte edildi. Boyun bilgisayarlý tomografisi ve bronkoskopi deðerlendirme sonucunda subglottik stenoz tespit edildi. Subglottik stenozun etiyolojisi açýsýndan deðerlendirildi ve kollajen doku belirteçlerinin pozitifti ve hastaya romatoloji konsültasyonu istendi. Tükürük bezi biyopsi sonucu ile hastaya Sjögren sendromu tanýsý konuldu. Bu olgu, çok nadir de olsa, subglottik stenozun etiyolojisinden Sjögren sendromu akýlda tutulmasý açýsýndan sunulmuþtur.

Anahtar Kelimeler: Sjögren sendromu, subglottik stenoz, göðüs hastalýklarý

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