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Case Reports in Otolaryngology
Volume 2017, Article ID 2381786, 4 pages
https://doi.org/10.1155/2017/2381786
Case Report

Eosinophilic Angiocentric Fibrosis as a Stenosing Lesion in the Subglottis

1Otorhinolaryngology Department, University College Hospital Galway and Academic Department of Otorhinolaryngology, National University of Ireland Galway, Newcastle Road, Galway, Ireland
2Department of Pathology, University College Hospital Galway, Newcastle Road, Galway, Ireland

Correspondence should be addressed to Rohana O’Connell; moc.liamg@llennoco.anahor

Received 25 August 2016; Accepted 13 December 2016; Published 30 January 2017

Academic Editor: Hsing-Won Wang

Copyright © 2017 Ivan Keogh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Subglottic Eosinophilic Angiocentric Fibrosis (EAF) is an extremely rare disease of an elusive aetiology. It is chronically progressive benign condition that causes narrowing of the subglottic region leading to dysphonia and airway compromise. The diagnosis is historical and imaging is nonspecific. We report a case xc of 56-year-old lady referred to our institution with globus sensation, hoarseness, and mild stridor. Incidental subglottic mass was found at time of diagnostic microlaryngoscopy and biopsy confirmed subglottic EAF. All laboratory investigations were unremarkable. Lesion was removed with laryngeal microdebrider and three courses of intravenous dexamethasone were administered. Patient’s postoperative period was uneventful and had remained disease free for 1 year. To date, no consensus has been reached on the optimal treatment of subglottic EAF. We recommend regular follow-up to detect early recurrence.