%0 Journal Article
%T Altera  es lar赤ngeas em pacientes com artrite reumatoide Laryngeal involvement in rheumatoid arthritis
%A Sarah Cristina Beirith
%A Claudio Marcio Yudi Ikino
%A Ivanio Alves Pereira
%J Brazilian Journal of Otorhinolaryngology
%D 2013
%I Associa??o Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial
%X Apreval那ncia do envolvimento lar赤ngeo em pacientes com artrite reumatoide (AR) varia de 13% a 75%. As manifesta  es espec赤ficas compreendem a artrite cricoariten車idea e os n車dulos reumatoides em pregas vocais. OBJETIVO: O objetivo da pesquisa 谷 avaliar a preval那ncia da disfonia e das altera  es lar赤ngeas 角 videolaringoscopia em pacientes com AR e a associa  o com o grau de atividade da doen a. M谷TODO: Trata-se de estudo cl赤nico transversal que avaliou pacientes com AR quanto ao escore de atividade de doen a em 28 articula  es (DAS-28), sintomas lar赤ngeos, incluindo a aplica  o da vers o traduzida do Voice Handicap Index, e realizou videolaringoscopia, comparando com um grupo controle. RESULTADOS: Foram avaliados 47 pacientes com artrite reumatoide e 40 controles. As preval那ncias de disfonia e de altera  es videolaringosc車picas foram, respectivamente, de 12,8% e 72,3% em pacientes com AR. A m谷dia do DAS-28 foi de 3,3 ㊣ 1,2; 26 (74,3%) dos 35 pacientes com doen a ativa apresentaram altera  es lar赤ngeas (p = 0,713). A laringite posterior (44,7%) foi o diagn車stico mais comum em pacientes com AR. CONCLUS O: A preval那ncia de altera  es lar赤ngeas em pacientes com AR foi 72,4% e a preval那ncia de disfonia foi 12,8%. N o houve rela  o significativa entre altera  es lar赤ngeas e grau de atividade da doen a. The prevalence of laryngeal involvement in Rheumatoid Arthritis (RA) ranges from 13 to 75%. The specific RA manifestations include the cricoarytenoid arthritis and the presence of rheumatoid nodules in the vocal folds. OBJECTIVE: The objective of this study is to evaluate the prevalence of dysphonia and laryngeal alterations on videolaryngoscopy in RA patients and their association with disease activity. METHOD: This is a clinical cross-sectional study that evaluated patients with rheumatoid arthritis as to their disease activity score in 28 joints (DAS-28), laryngeal symptoms, application of a Portuguese version of the Voice Handicap Index and videolaryngoscopy findings, comparing them with a control group. RESULTS: We evaluated 47 (54%) patients with rheumatoid arthritis and 40 (46%) controls. The prevalence of dysphonia and videolaryngoscopy changes was respectively 12.8% and 72.4% in patients with RA. The mean of DAS-28 was 3.3 ㊣ 1.2; 26 (74.3%) of 35 patients presenting active disease had laryngeal changes (p = 0.713). Posterior laryngitis was the most common diagnosis (44.7%). CONCLUSION: The prevalence of laryngeal disorders in RA patients was 72.4% and the prevalence of dysphonia was 12.8%. There was no significant relationship between laryngeal disorder
%K artrite reumat車ide
%K disfonia
%K doen as da laringe
%K laringoscopia
%K arthritis
%K rheumatoid
%K dysphonia
%K laryngeal diseases
%K laryngoscopy
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942013000200017