Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-03T05:25:47.776Z Has data issue: false hasContentIssue false

Hydralazine-induced lupus and vocal fold paralysis

Published online by Cambridge University Press:  29 June 2007

C. K. Hari*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Gwent Hospital, Newport, U.K.
S. Ali Raza
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Gwent Hospital, Newport, U.K.
M. I. Clayton
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Gwent Hospital, Newport, U.K.
*
Address for correspondence: Mr C. K. Hari, F.R.C.S., Department of Otolaryngology and Head and Neck Surgery, Royal Gwent Hospital, Newport NP9 2UB. Fax: (01633) 238123

Abstract

Systemic lupus erythematosus (SLE) is a multi-system autoimmune disorder that can affect the upper airway. Hydralazine has been known to cause a lupus-like syndrome that can produce the clinical manifestations of SLE. We discuss a case of hydralazine-induced lupus, presenting with acute laryngeal oedema and right vocal fold paralysis. Cessation of hydralazine therapy resulted in reversal of paralysis.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Asherson, R. A., Hughes, G. R. V. (1985) Vocal cord paralysis i n systemic lupus erythematosus complicated by pulmonary hypertension. Journal of Rheumatology 12: 10291030.Google Scholar
Aszkenasy, O. M., Clarke, T. J., Hickling, P., Marshall, A. J. (1987) Systemic lupus erythematosus, pulmonary hypertension, and left recurrent laryngeal nerve palsy. Annals of the Rheumatic Diseases 46: 246247.CrossRefGoogle ScholarPubMed
British National Formulary (1997) Vasodilator antihyperten-sive drugs. 34: 8283.Google Scholar
Burgess, E. D., Render, K. C. (1984) Hypopharyngeal obstruction in lupus erythematosus. Annals of Internal Medicine 100: 319.CrossRefGoogle ScholarPubMed
Curley, J. W. A., Byron, M. A., Bates, G. J. (1986) Crico-arytenoid joint involvement in acute systemic lupus erythematosus. Journal of Laryngology and Otology 100: 727732.CrossRefGoogle ScholarPubMed
Espana, A., Gutierrez, J. M., Soria, C., Gila, L., Ledo, A. (1990) Recurrent laryngeal palsy in systemic lupus erythe-matosus. Neurology 40: 11431144.CrossRefGoogle Scholar
Gilliam, J. N., Cheatum, D. E. (1973) Immunoglobulins in the larynx in systemic lupus erythematosus. Archives of Dermatology 108: 696697.CrossRefGoogle ScholarPubMed
Gordon, T., Dunn, E. C. (1990) Systemic lupus erythematosus and right recurrent laryngeal nerve palsy. British Journal of Rheumatology 29: 308309.CrossRefGoogle ScholarPubMed
Harland, S. J., Facchini, V., Timbrell, J. A. (1980) Hydralazine induced lupus erythematosus like syndrome in a patient of the rapid acetylator phenotype. British Medical Journal 281: 273274.CrossRefGoogle Scholar
Korbet, S. M., Block, L. J., Lewis, E. J. (1984) Laryngeal complications in a patient with inactive systemic lupus erythematosus. Archives of Internal Medicine 144: 18671868.CrossRefGoogle Scholar
Kraus, A., Guerra-Bautista, G. (1990) Laryngeal involvement as a presenting symptom of systemic lupus erythematosus. Annals of the Rheumatic Diseases 49: 421423.CrossRefGoogle ScholarPubMed
Maxwell, D., Silver, R. (1987) Laryngeal manifestations of drug induced lupus. Journal of Rheumatology 14: 375377.Google ScholarPubMed
Montgomery, W. W., Lofgren, R. H. (1963) Usual and unusual cases of laryngeal arthritis. Archives of Otolaryngology 77: 2933.CrossRefGoogle Scholar
Munianin, M. A., Toyos, F. J., Giron, J. M., Izquierdo, G., Navarro, F. (1992) Right recurrent laryngeal nerve palsy in a patient with systemic lupus erythematosus. Lupus 1: 407408.Google Scholar
Petri, M., Katzenstein, P., Hellmann, D. (1988) Laryngeal infection in lupus: Report of Nocardiosis and review of laryngeal involvement in lupus. Journal of Rheumatology 15: 10141015.Google ScholarPubMed
Raz, E., Bursztyn, M., Rosenthal, T., Rubinow, A. (1992) Severe recurrent lupus laryngitis. American Journal of Medicine 92: 109110.CrossRefGoogle ScholarPubMed
Saluja, S., Singh, R. R., Misra, A., Gairola, A. K., Prasad, K., Ahuja, G. K., Malaviya, A. N. (1989) Bilateral recurrent laryngeal nerve palsy in systemic lupus erythematosus. Clinical and Experimental Rheumatology 7: 8183.Google ScholarPubMed
Scarpelli, D. G., McCoy, F. W., Scott, J. K. (1959) Acute lupus erythematosus with laryngeal involvement. New England Journal of Medicine 261: 691694.CrossRefGoogle ScholarPubMed
Schur, P. H. (1993) Clinical features of systemic lupus erythematosus. In Textbook of Rheumatology (Kelley, W. N., eds) 4th Edition. W.B. Saunders Company, Philadelphia, pp 10171042.Google Scholar
Schwartz, I. S., Grishman, E. (1980) Rheumatoid nodules of the vocal cords as the initial manifestation of systemic lupus erythematosus. Journal of the Medical Association 244: 27512752.CrossRefGoogle ScholarPubMed
Shalit, M., Gross, D. J., Levo, Y. (1982) Pneumococcal epiglottitis in systemic lupus erythematosus on high-dosage corticosteroids. Annals of the Rheumatic Diseases 41: 615616.CrossRefGoogle Scholar
Sharma, A., Singh, R. R., Malaviya, A. N. (1988) Vocal cord palsy in a patient of systemic lupus erythematosus. Journal of Association of Physicians of India 36(11): 674675.Google Scholar
Sinclair, D. S., Rosen, P. S., Noyek, A. M. (1976) Systemic lupus erythematosus with a vocal cord granulomatous nodule. Journal of Otolaryngology 5: 337342.Google ScholarPubMed
Smith, G. A., Ward, P. H., Berci, G. (1977) Laryngeal involvement by systemic lupus erythematosus. Transactions of American Academy of Ophthalmology and Otolaryngology 84: 124128.Google ScholarPubMed
Smith, G. A., Ward, P. H., Berci, G. (1978) Laryngeal lupus erythematosus. Journal of Laryngology and Otology 92: 6773.CrossRefGoogle ScholarPubMed
Smith, R. R., Ferguson, G. B. (1976) Systemic lupus erythematosus causing subglottic stenosis. Laryngoscope 86: 734738.CrossRefGoogle ScholarPubMed
Teitel, A. D., MacKenzie, C. R., Stern, R., Paget, S. A. (1992) Laryngeal involvement in systemic lupus erythematosus. Seminars in Arthritis and Rheumatism 22(3): 203214.CrossRefGoogle ScholarPubMed
Toomey, J. M., Snyder, G. G., Maenza, R. M., Rothfleld, N. F. (1974) Acute epiglottitis due to systemic lupus erythematosus. Laryngoscope 84: 522527.CrossRefGoogle ScholarPubMed
Tsunoda, K., Soda, Y. (1996) Hoarseness as the initial manifestation of systemic lupus erythematosus. Journal of Laryngology and Otology 110: 478479.CrossRefGoogle ScholarPubMed
Weiser, G. A., Forouhar, F. A., White, W. B. (1984) Hydralazine hoarseness: A new appearance of drug induced systemic lupus erythematosus. Archives of Internal Medicine 144: 22712272.CrossRefGoogle ScholarPubMed
Woo, P., Mendelsohn, J., Humphrey, D. (1995) Rheumatoid nodules of the larynx. Otolaryngology – Head and Neck Surgery 113(1): 147150.CrossRefGoogle ScholarPubMed