DOI: 10.36347/sjmcr.2021.v09i04.014

Pages: 356-357

Laryngeal involvement during lupus erythematosus is very rare and exceptionally revealing. The clinical manifestations could be quite varied. We report the observation of an 18-year-old patient who was admitted for pericardial tamponade associated with inflammatory arthralgia, photosensitivity and malar rash. Biological workup showed lymphopenia, positive antinuclear antibodies at 1/1280 with a homogeneous fluorescence and positive anti-dsDNA at 300 IU. Urine protein test was positive at 4.2g/day revealing a class IV lupus nephritis. Four months later, the patient presented with a sudden onset dysphonia. Laryngoscopy showed paralysis of the left vocal cord. The patient was treated with systemic corticosteroid with a favorable evolution.