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.