Figure 2. During the follow-up, it was found that the patient had symmetrical fatty yellow striped lesions in the front 1/3 of bilateral vocal cords, with local mucosal bulge, which changed from unilateral slubby to bilateral slubby.
3.2. Case 2
Female, 40 years old, was hospitalized in the rheumatology and Immunology Department of our hospital in November 2021 because of intermittent fever with joint swelling and pain. She was diagnosed as SLE and was treated with routine first-line treatment, During the period, she was consulted in our department because of hoarseness. Her laryngoscopy showed that there were fatty yellow striped lesions, nodular changes, and local mucosal uplift in the front 1/3 of the right vocal cord (Figure 3), With the consent of the patient, the pathological examination was showed submucosal lymphocyte and neutrophil infiltration, accompanied by a little necrosis and eosinophil deposition (Figure 4). The patients were given symptomatic treatment of resting and local hormone atomization inhalation. The bilateral lesion’s location became more obvious during the stroboscopic examination. The stroboscopic image during chest voice phonation revealed that, apart from the lesion, the vocal folds were vibrating with decreased amplitude. The vocal fold regions in front of and behind the transverse lesion did not exhibit any pattern of vibration in the videostroboscopy’s continuing picture. After two weeks of treatment, the symptoms of hoarseness were significantly improved. They were followed up for 3 months and did not relapse again. The patients were in good health in the past, generally in good condition after onset, without discomfort symptoms such as weight loss, and denied the history of similar diseases in the family.