Maggio 2019 - Volume XXXVIII - numero 5
Pagine elettroniche
1UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
2Scuola di Specializzazione in Pediatria, Universitaria di Ferrara
3UOC di Radiodiagnostica, 4UOC di Otorinolaringoiatria, Ospedale di Ravenna, AUSL della Romagna
Indirizzo per corrispondenza: radicecaterina@libero.it
Key words: Rosai-Dorfman disease, Nasal choanae involvement, Diagnosis, Treatment
The paper reports the case of a 13-year-old adolescent presenting with a right-sided submandibular lymph node swelling in absence of any other systemic symptoms. The histological exam documented Rosai-Dorfman disease (RD). The MRI of the head reported an infiltrative lesion of the nasal choanae that was confirmed by PET/CT and radically excised. In about 10% of cases RD may involve nasal choanae and can be asymptomatic or present with obstructions, epistasis, deformity in the nasal dorsum and hyposmia. By considering a recent international Consensus, the pa-per discusses the diagnostic and therapeutic approach to the localised forms of the Rosai-Dorfman disease.
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Pagine elettroniche
1Scuola di Specializzazione in Pediatria, Universitą di Padova
2Pediatria, Ospedale di Mestre (Venezia)
Indirizzo per corrispondenza: giuliadebernardo7@gmail.com
Key words: Vagus nerve, Palatal paralysis, Nasal regurgitation, Nasal speech
Firstly described in 1976, acute isolated reversible velopalatopharyngeal emiparalysis is a rare clinical entity characterised by sudden onset of nasal voice, nasal escape of fluids while swallowing and, occasionally, dysphagia. It is usually observed in children and resolves spontaneously within 2-3 weeks. At the state of the art, viral infections and vascular insults are considered as the most probable trigger events, but yet the exact etiopathogenesis of this condition is elusive. The paper reports a case of isolated palatine paralysis in an 11-year-old boy with a benign self-resolving course.
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