Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T03:45:24.315Z Has data issue: false hasContentIssue false
  • English
  • Français

Scleroma of the upper respiratory passages: a CT study

Published online by Cambridge University Press:  29 June 2007

S. G. Abou-Seif ,
F. A. Baky ,
F. El-Ebrashy  and
H. A. Gaafar
S. G. Abou-Seif*
Affiliation:
Department of Radiology, Faculty of Medicine, Alexandria University, Egypt
F. A. Baky
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
F. El-Ebrashy
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
H. A. Gaafar
Affiliation:
Department of otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt.
*
Dr Shadia G. Abou-Seif, Ass. Professor Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Get access Rights & Permissions [Opens in a new window]

Abstract

Scleroma is a chronic specific granulomatous disease endemic in Egypt. The nasal cavities were all affected in the 37 patients examined. The paranasal sinuses and nasopharynx were involved in 17 patients, while the larynx and upper trachea were affected in five patients, four of whom were females. Twenty-three patients were in the granulomatous stage; the rest of the patients were in the atrophic and fibrotic stages.

The main nasal and nasopharyngeal CT findings were soft tissue masses of variable sizes. The lesions were characteristically homogeneous, non-enhancing and had distinct edge definition; adjacent fascial planes were not invaded. The subglottic area was involved in laryngeal and tracheal scleroma. The lesions were mainly in the form of concentric irregular narrowing of the airway. In the trachea, crypt-like irregularities were diagnostic of scleroma. Intra-orbital, intra-cranial and infratemporal parapharyngeal scleromatous masses were detected inone patient.

Keywords

ScieromaRadiographycomputerised tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 3 , March 1991 , pp. 198 - 202
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Acuna, R. T. (1973) Endoscopy of the air passages with special references to scieroma. Annals of Ototogy, Rhinology and Laryngology, 82: 756–759.Google Scholar
Badrawy, R. (1966) Affection of bone in rhino-scieroma. Journal of Laryngology and Otology, 80: 160–167.CrossRefGoogle Scholar
Badrawy, A., Fouad, H., Fatthi, A. (1974) Scleroma affecting the middle ear cavity with report of three cases. Annals of Otology, Rhinology, and Laryngology, 83: 107–110.Google Scholar
Dogheim, Y. A. (1980) Bacteriological and immunological study of rhinoscieroma. Thesis, DRChOR La Lex: University of Alexandria, Faculty of Medicine, 137.Google Scholar
Gaafar, H. A. (1983) Endoscopy of lower respiratory tract scleroma. Endoscopy, 15: 297–299.CrossRefGoogle ScholarPubMed
Gaafar, H. A., Abou-Seif, Sh. H. (1984) Tracheal scleroma: A contrast radiographic study: Journal of Laryngology and Otology, 98: 65–70.Google ScholarPubMed
Hoffman, E. O., Harkin, J. C. (1973) The Mikulicz cell in rhinoscieroma. American Journal of Pathology, 73: 147–53.Google Scholar
Holinger, O. H., Gelman, H. K., Worife, Ch. K. (1977) Rhinoscleroma of the lower respiratory tract. Laryngoscope, 87(1): 1–9.CrossRefGoogle ScholarPubMed
Hoover, L. A., Hanafee, W. N. (1983) Differential diagnosis of nasopharyngeal tumours by computed tomography scanning. Archives of Otolaryngology, 109: 43–47.CrossRefGoogle ScholarPubMed
Shehata, H. A., El-Sallab, R., Mandour, M. H. (1975) Radiographic study of scleroma. Journal of Laryngology and Otology, 89: 1243–1261.CrossRefGoogle ScholarPubMed
Shum, T. K., Whitaker, C. W., Meyer, P. R. (1982) Clinical update on rhinoscleroma. Laryngoscope, 92: 1149–1153.Google Scholar
Silver, A. J., Mawad, M. E., Hilal, S. K., Sane, P., Ganti, S. R. (1983) Computed tomography of the nasopharynx and related spaces. Part II: Pathology Radiology, 147: 733–738.Google Scholar
Sinha, A., Randhi, S. C., Prakash, O. M. (1969) Aetiopathogenesis of scleroma. Journal of Laryngology and Otology, 83: 133–139.CrossRefGoogle ScholarPubMed
Som, P. M. (1985) CT of the paranasal sinuses, Neuroradiology, 27: 189–201.Google Scholar
Steinberg, Ch. M., Clarck, E. D. (1983) Rhinoscleroma, a diagnostic challenge. Laryngoscope, 93(7): 866–870.Google Scholar
Taha, A., Fatthi, A., Abdel Kadir, M., Soliman, T. (1975) Surgical management of cicatrical post-scieromatous subglottic stenosis. Journal of Laryngology and Otology, 95: 827–833.Google Scholar
Unger, J. M., Shaefer, K., Duncovage, J. A., Milwaukee, (1984) Computed tomography in nasal and paranasal sinuses disease. Laryngoscope, 94: 1319–1323.Google Scholar