Hodgkin's disease frequently involves the cervical lymph nodes and intrathoracic structures but rarely occurs in the nose and throat. A number of articles presenting series of several hundred cases have little or no mention of upper respiratory tract involvement. Deafness, epistaxis, and hoarseness are very infrequently presenting symptoms. A case with two of these unusual features seems worthy of presentation.
A 26-year-old man was seen in the office because of severe epistaxis. There had been intermittent mild bleeding for several days. Profuse bleeding from a polypoid mass in the right choana was controlled with an anterior pack. The patient's hearing was decreased markedly. He had noticed gradual loss for several weeks. About two weeks previously he had been acutely ill with fever, hoarseness, and cough. Antibiotic treatment by the family physician for a pneumonia of the left lung produced improvement, but the cough and hoarseness persisted. He was hospitalized for
LAUTZ HA. Nasal and Laryngeal Involvement in Abdominal Hodgkin's Disease. AMA Arch Otolaryngol. 1958;67(1):78–80. doi:10.1001/archotol.1958.00730010082016
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