Bilateral Vocal Cords Palsy in Adolescent Systemic Lupus Erythematosus Patient

August 2024 in “ Intisari Sains Medis ”

I Made Dwie Pradnya Susila, Ketut Dewi Kumara Wati, Putu Dian Ariyanti Putri

systemic lupus erythematosus SLE hair loss methylprednisolone cyclophosphamide lupus steroid chemotherapy

TLDR A 17-year-old girl with lupus had vocal cord paralysis but improved with treatment.

A 17-year-old girl with systemic lupus erythematosus (SLE) presented with a seizure and subsequent loss of voice, alongside symptoms like severe hair loss, fever, and various hematological abnormalities. MRI showed brain atrophy, and echocardiography revealed mild carditis and pericardial effusion. Immunological tests confirmed SLE. Fiberoptic laryngoscopy identified bilateral vocal cord palsy due to SLE. Treatment with high-dose methylprednisolone, cyclophosphamide, and speech therapy led to gradual speech improvement. Continuous monitoring is necessary for complete resolution of the vocal cord palsy.

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