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A case of rhinolaryngoscleroma in a patient with neurofibromatosis type 1

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Abstract

Introduction

Scleroma is a chronic-specific granuloma of the nose and it may involve other parts of the respiratory tract. The condition is endemic in Egypt. Neurofibromatosis type 1 (NF-1) is one of the most common genetic conditions of the nervous system. Before this report, no case had been published documenting scleroma in a patient with NF-1.

Aim

To describe a case of rhinolaryngoscleroma in a patient with NF-1.

Methods

Case report and literature review.

Results

Presentation of clinical, imaging and pathological findings, as well as management considerations.

Conclusion

This is the first case to be reported in the literature documenting the coexistence of rhinolaryngoscleroma and NF-1. The biological events in the immune system await further studies.

References

  1. Gaafar HA, Gaafar AH, Nour YA. Rhinoscleroma: an updated experience through the last 10 years. Acta Otolaryngol. 2011; 131: 440–446.

    Article  CAS  Google Scholar 

  2. Fawaz S, Tiba M, Salman M, Othman H. Clinical radiological and pathological study of 88 cases of typical and complicated scleroma. Clin Respir J. 2011; 5: 112–121.

    Article  Google Scholar 

  3. Duong TA, Bastuji-Garin S, Valeyrie-Allanore L, Sbidian E, Ferkal S, Wolkenstein P. Evolving pattern with age of cutaneous signs in neurofibromatosis type 1: a cross-sectional study of 728 patients. Dermatology. 2011; 222: 269–273.

    Article  CAS  Google Scholar 

  4. Blessmann M, Gröbe A, Quaas A, Kaifi JT, Mistakidis G, Bernreuther C, et al. Adhesion molecule L1 is down-regulated in malignant peripheral nerve sheath tumors versus benign neurofibromatosis type 1-associated tumors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2012;113:239–244.

    Article  Google Scholar 

  5. Petramala L, Giustini S, Zinnamosca L, Marinelli C, Colangelo L, Cilenti G, et al. Bone mineral metabolism in patients with neurofibromatosis type 1 (von Recklinghausen disease). Arch Dermatol Res. 2012;304:325–331.

    Article  CAS  Google Scholar 

  6. Kehrer-Sawatzki H, Vogt J, Muβotter T, Kluwe L, Cooper DN, Mautner V-F. Dissecting the clinical phenotype associated with mosaic type-2 NF1 microdeletions. Neurogenetics. 2012 [Epub ahead of print].

  7. Lee J-H, Bae JH, Kim K-S. A case of solitary neurofibroma of the nasal dorsum: resection using an external rhinoplasty approach. Eur Arch Otorhinolaryngol. 2005; 262: 813–815.

    Article  Google Scholar 

  8. Amoils CP, Shindo ML. Laryngotracheal manifestations of rhinoscleroma. Ann Otol Rhinol Laryngol. 1996; 105: 336–340.

    Article  CAS  Google Scholar 

  9. Rifai M. Laryngotracheal resection for post scleromatous laryngeal stenosis. J Laryngol Otol. 1989; 103: 935–938.

    Article  CAS  Google Scholar 

  10. Friedrich RE, Holstein A-F, Middendorff R, Davidoff MS. Vascular wall cells contribute to tumourigenesis in cutaneous neurofibromas of patients with neurofibromatosis type 1. A comparative histological, ultrastructural and immunohistochemical study. Anticancer Res. 2012; 32: 2139–2158.

    PubMed  Google Scholar 

  11. Jouhilahti E-M, Visnapuu V, Soukka T, Aho H, Peltonen S, Happonen R-P, et al. Oral soft tissue alterations in patients with neurofibromatosis. Clin Oral Investig. 2012; 16: 551–558.

    Article  Google Scholar 

  12. Gnanalingham KK, Hance J, Powell M. Nasal polyps: not always an ENT problem. Br J Neurosurg. 2003; 17: 84.

    Article  CAS  Google Scholar 

  13. Hirao M, Gushiken T, Imokawa H, Kawai S, Inaba H, Tsukuda M. Solitary neurofibroma of the nasal cavity: resection with endoscopic surgery. J Laryngol Otol. 2001; 115: 1012–1014.

    Article  CAS  Google Scholar 

  14. Dave SP, Farooq U, Civantos FJ. Management of advanced laryngeal and hypopharyngeal plexiform neurofibroma in adults. Am J Otolaryngol. 2008; 29: 279–283.

    Article  Google Scholar 

  15. Fusconi M, Pulice G, Ippolite F, Mastronicola R, Ralli G, de Vincentiis M. Modification of lymphocyte subsets in patients with rhinoscleroma. Am J Otolaryngol. 2006; 27: 401–405.

    Article  Google Scholar 

  16. Canalis RF, Zamboni L. An interpretation of the structural changes responsible for the chronicity of rhinoscleroma. Laryngoscope. 2001; 111: 1020–1026.

    Article  CAS  Google Scholar 

  17. Sánchez-Marín LA, Bross-Soriano D, Arrieta J, Kawa-Karasik S, Martínez-Vilchis V, Jiménez-Lucio R, et al. Association of HLA-DQA1*03011-DQB1*0301 haplotype with the development of respiratory scleroma. Otolaryngol Head Neck Surg. 2007;136:481–483.

    Article  Google Scholar 

  18. Lee PR, Cohen JE, Fields RD. Immune system evasion by peripheral nerve sheath tumor. Neurosci Lett. 2006; 397: 126–129.

    Article  CAS  Google Scholar 

  19. Karthikeyan K, Latchoumibady K, Sowmy S. Double trouble: a case of von Recklinghausen’s disease with coexistent lepromatous leprosy. J Infect Dev Ctries. 2012; 6: 287–289.

    Article  Google Scholar 

  20. De Lange J, van den Akker HP, van den Berg H. Central giant cell granuloma of the jaw: a review of the literature with emphasis on therapy options. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104: 603–615.

    Article  Google Scholar 

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Correspondence to Kamal G. Effat.

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Effat, K.G. A case of rhinolaryngoscleroma in a patient with neurofibromatosis type 1. Egypt J Otolaryngol 29, 46–48 (2013). https://doi.org/10.7123/01.EJO.0000423982.18447.fc

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