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Ear, nose, and throat involvement in E gyptian patients with pemphigus vulgaris: a step towards a better management
Author(s) -
Fawzy Marwa Mohamed,
Hegazy Rehab A.,
Abdel Fattah Ahmed F.
Publication year - 2013
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4632.2012.05846.x
Subject(s) - medicine , throat , pemphigus vulgaris , nose , otorhinolaryngology , ear nose and throat , endoscopy , physical examination , surgery , laryngoscopy , dermatology , intubation
Background The frequency of ear, nose, and throat ( ENT ) involvement in pemphigus vulgaris ( PV ) is not clear; thereby, the importance of setting routine ENT examination for patients with PV could not be deduced. Objective Determine the prevalence of ENT involvement in patients with PV in Egypt; to modify the routine protocol and achieve a step towards better management. Patients and methods Thirty‐four patients with PV were included. Patients were asked about ENT symptomatology and evaluated for ENT manifestations. Results Twenty‐five patients complained from ENT symptoms (74%). The pharyngeal/laryngeal‐related symptoms were the most common. Eighty‐two percent of patients had positive endoscopic findings. The most common were pharyngeal/laryngeal (76.5%). In total, the positive endoscopic findings superseded the positive symptomatic findings. More severe involvement was documented in non‐smoking patients ( P < 0.05). Conclusion Full ENT examination as a routine for all patients with PV could be of great value, as it would lead to more accurate diagnosis, therefore improved management.