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01 August 2006

Corticosteroid-induced laryngeal disorders in asthma

Tomasz Kręcicki, Jerzy Liebhart, Monika Morawska-Kochman, Ewa Liebhart, Monika Morawska-Kochman, Ewa Liebhart, Maciej Zatoński, Maria Zalesska-Kręcicka

Med Sci Monit 2006; 12(8): CR351-354 :: ID: 452861

Abstract

Background:Inhaled corticosteroids have proven to be the most effective agent available in treating bronchial asthma, and such treatment is believed to be very safe. Concerns regarding side effects of inhaled corticosteroids usually focus on potential systemic effects, where local side effects are often overlooked. The purpose of this study was to analyze and assess the influence of inhaled corticosteroids on the vocal cords of patients treated for bronchial asthma.

Material/Methods: Fifty patients (mean age: 50 years, range: 22 to 83 years) suffering from asthma and receiving corticosteroidal inhaled agents entered in this study. All of the patients underwent detailed videoscopic examination of the larynx. None complained of any laryngeal disorders or dysfunction before the diagnosis of asthma. All of the patients were non-smokers.

Results: Significant changes in the laryngeal status were observed. Changes included atrophy of laryngeal mucosa, vocal fold atrophy, and vocal fold bowing.

Conclusions:Damage to the larynx is an important factor in patients with asthma treated with inhaled corticosteroids, which elicit apoptosis of the epithelium.

Keywords: Adrenal Cortex Hormones - adverse effects, Aged, 80 and over, Asthma - drug therapy, Case-Control Studies, Endoscopy, Laryngeal Diseases - complications

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750