Laryngeal Zoster Mimicking a Laryngeal Cancer

Abstract

Angiofibroma arising outside the nasopharynx is unusual. The nasal septum is an extremely rare site for an angiofibroma to originate, and, to date, only 3 cases have been reported in the literature. We reported here the fourth case of nasal septal angiofibroma. A 27-year-old male patient with nasal deformity applied to the Erciyes University ENT Department. He also complained of nasal obstruction on the right for 6 years. Two years ago, he had experienced an epistaxis, which oozed for 2 weeks after being packed. Neither the patient nor his family had a history of any hematologic disorder. On examination, an external nasal deviation to left was remarkable. A dark grayish mass was seen through the right nostril, between the nasal septum and the inferior turbinate on anterior rhinoscopy. There was no mass in the nasopharynx on posterior rhinoscopy via endoscope.

A Supraglottic Pseudotumor in an Immunocompromised Patient with Nephrotic Syndrome, Herpes Zoster, and a Cytomegalovirus Infection

“…Laryngeal zoster, a phenotype of HZ in the head and neck, includes a wide spectrum of manifestations, such as laryngeal mucosal eruptions, skin erythema, and multiple cranial nerve palsies. [13][14][15][16][17] VZV reactivation in the larynx may also mimic neoplasms by presenting with laryngeal masses, [18][19][20] and cases of laryngeal zoster without motor dis orders or mucosal lesions are not exceptional. 14,16,21 Therefore, the laryngeal mass in the current patient can be attributed to a VZVdependent mechanism, and it is thus not surprising that we failed to confirm any signs suggestive of laryngeal paresis, such as hoarseness or dysphagia, on the initial presentation, in addition to mucosal eruptions.…”

Laryngeal Mass with Multiple Cranial Neuropathies as a Presenting Sign for Varicella Zoster Infection

“…In one reported case, laryngeal zoster mimicked a malignant laryngeal tumor [2]. In another case, zoster of the left hemilarynx in a young immunocompetent patient was associated with sensorial and motoric neuropathy of three ipsilateral lower cranial nerves, IX, X, and XI.…”

“…Clinically, herpes zoster appears as a unilateral cluster of vesicular lesions with surrounding erythema in the dermatomal distribution of one or more adjacent sensory nerves [1,2]. The most common manifestation of VZV in the head and neck region is Ramsay Hunt syndrome, characterized by acute peripheral facial paralysis, hearing loss, and zoster eruption around the ears [3].…”