Mucocele of the glands of Blandin-Nuhn: a case report.

Mucoceles arising from the Blandin Nuhn glands are uncommon benign lesions of the oral cavity, which by their clinical presentation may be confused with more serious diseases such as vascular lesions, pyogenic granulomas, polyps, or squamous papillomas; thereby, it is convenient to be aware of the characteristics of this entity to guide the accurate and timely diagnosis and treatment. Herein, we present a case of a 10-year-old patient with a recurrent lesion of this type, which required surgical excision and marsupialization of the same, with no evidence of recurrence during follow-up.

Los mucoceles originados de las glándulas de Blandin Nuhn son lesiones benignas poco comunes de la cavidad oral, que por su presentación clínica pueden ser confundidas con patologías de mayor gravedad como lesiones vasculares, granulomas piógenos, pólipos o papilomas escamosos; por lo cual es conveniente conocer las características particulares de esta entidad para orientar de manera precisa y oportuna su diagnóstico y tratamiento. Se presenta el caso de una paciente de 10 años con una lesión recidivante de este tipo, que requirió de extirpación quirúrgica y marsupialización de la misma, sin evidencia de recurrencia durante el seguimiento.

Sífilis laríngea / Laryngeal syphilis

La sífilis es una enfermedad de transmisión sexual, causada por la espiroqueta Treponema pallidum; debido a su complejidad, se le conoce como “gran simuladora”. Existen cuatro fases clínicas: primaria, secundaria, latente y terciaria. Es sensible a la penicilina, y su incidencia disminuyó a partir de la era antibiótica. Sin embargo, con la aparición del virus de inmunodeficiencia humana ha aumentado su aparición. La sífilis laríngea es una entidad rara y tiene un comportamiento clínico variable; dentro de su diagnóstico diferencial deben incluirse enfermedades granulomatosas laríngeas, como tuberculosis, sarcoidosis y el carcinoma laríngeo. Presentamos el caso de un paciente de 42 años, con cuadro de disfonía compatible con sífilis laríngea.

Syphilis is a sexually transmitted disease caused by the spirochete Treponema pallidum, due to its complexity is known as “great simulator”, there are four clinical stages: primary, secondary, latent and tertiary. It is sensitive to penicillin and its incidence had decreased following the advent of antibiotics. However, emergence of hiv has led to a recrudescence of the number of cases of syphilis. Laryngeal syphilis is a rare disease, has a variable clinical behavior, differential diagnosis should include laryngeal granulomatous diseases such as tuberculosis, sarcoidosis and laryngeal carcinoma. We present a case of a 42 year old male patient with dysphonia compatible with laryngeal syphilis.

Enfermedad de rosai-dorfman / Rosai-dorfman disease

La enfermedad de Rosai-Dorfman, o sinuhistiocitosis con linfadenopatía masiva, es una rara patología que se presenta con linfadenopatía dolorosa generalizada, más frecuentemente en cabeza y cuello. Su curso clínico y tratamiento es variable. Se describe el caso de un paciente masculino con compromiso nasal de la enfermedad...

Rosai-Dorfman disease, or sinus histiocytosis with massive lymphadenopathy, is a rare disorder presented as painless bilateral lymph node enlargement mainly in the head and neck region. Clinical course and treatment regimen are variable. We described one male patient with nasal involment...

Lepra laríngea / Laryngeal leprosy

La lepra, o enfermedad de Hansen, es una afección causada por el Mycobacterium leprae, cuyas manifestaciones clínicas varían entre dos polos, lepromatoso y tuberculoide, pudiéndose encontrar en toda la extensión corporal, incluyendo la larínge. La entidad es rara, pero en Colombia existen focos reconocidos, y dentro de la evaluación de pacientes con lesiones granulomatosas o síntomas laríngeos, con nexos epidemiológicos, debe sospecharse y diagnosticarse apropiadamente, para evitar secuelas irreversibles. Presentamos el caso de un paciente de 28 años con cuadro de disfonía, voz apagada y disnea progresiva, asociado a manifestaciones nasales y cutáneas de tres años de evolución, correspondientes a infección por Mycobacterium leprae...

Leprosy or Hansen’s Disease is a condition caused by Mycobacterium leprae, which clinical presentations may vary between two poles: lepromatous and tuberculoid, compromising several systems including the larynx. Leprosy is a very rare disease but in Colombia there are known places where the condition is often found, leading to the necessity of suspicion and diagnosis in patients with granulomatous lesions or laryngeal symptoms with a positive epidemiological bind, to avoid future irreversible sequels. We present a 28 years-old patient with dysphonia, muffled voice and progressive dyspnea, associated with nasal and cutaneous manifestations over 3 years, corresponding to Mycobacterium leprae infection...

Dysphagia caused by spindle cell lipoma of hypopharynx: presentation of clinical case and literature review.

Spindle cell lipoma of the hypopharynx is an extremely rare entity. Here, we present the first case of this lesion originated in the cricopharyngeal region, with symptoms of chronic progressive dysphagia, which can be confused with other pathologies; endoscopic and magnetic resonance imaging (MRI) evaluation are the methods of choice for its diagnostic approach. The best therapeutic approach is endoscopic resection with rapid recovery and few complications. Long-term followup is recommended, either endoscopic or imaging, given that it can be confused with an undiagnosed liposarcoma; additionally, its long-term behavior is unknown.