Epiglottic Tuberculosis in a Patient Treated with Steroids for Addison's Disease

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  • Egeli Erol
    Department of Otorhinolaryngology, Düzce Faculty of Medicine, University of Abant Izzet Baysal
  • Oghan Fatih
    Department of Otorhinolaryngology, Düzce Faculty of Medicine, University of Abant Izzet Baysal
  • Alper Murat
    Department of Pathology, Düzce Faculty of Medicine, University of Abant Izzet Baysal
  • Harputluoglu Ugur
    Department of Otorhinolaryngology, Düzce Faculty of Medicine, University of Abant Izzet Baysal
  • Bulut Ismet
    Department of Pneumology, Düzce Faculty of Medicine, University of Abant Izzet Baysal

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Isolated epiglottic tuberculosis (TBC) is uncommon and has rarely been described. We report the case of a 40-year-old man with tuberculous involvement of the epiglottis and primary adrenal insufficiency. Endoscopic examination showed a severely swollen epiglottis with granulomatous and partially necrotic mucosa. The patient has been treated with glucocorticoids for four years due to primary adrenocortical insufficiency. We therefore assume that tuferculous involvement of epiglottis is due to the reactivation of pulmonary TBC. We also discuss differential diagnosis and management of epiglottic TBC and Addison’s disease.

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