Achados laringoscópicos em pacientes com artrite reumatóide em um serviço de referência em otorrinolaringologia da região norte

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease that affects small and large joints, which may also manifest in the larynx. Objective: To study the laryngeal manifestations in patients with rheumatoid arthritis treated at an otolaryngology referral service of Manaus. This is a cross-sectional prospective study with clinical assessment and laryngoscopy of patients with rheumatoid arthritis. We studied 43 patients, of whom 81.4% were female. The main complaints were laryngeal dysphonia in 76.8% and 32.6% in pharyngeal globus. The most common videolaryngoscopic finding was the posterior laryngitis found in 97.7%. Possible findings related to RA were the posterior laryngitis and vocal fold nodule. The posterior laryngitis was the main finding and may be associated with RA and / or secondary pharyngolaryngeal reflux to drug treatment for rheumatoid arthritis. Keywords: Rheumatoid arthritis; larynx; vocal cords; arytenoid.