Pharyngeal applesauce nodules
Introduction
Introduction Pharyngeal apple-like nodules: pharyngeal lupus is the same as lupus in other areas, characterized by insidious onset and painless development. When lupus occurs on the face or nose, and typical applesauce-like nodules occur in the pharynx, the diagnosis is easy, but a biopsy is still needed to confirm the diagnosis. The pathogenic bacteria are Mycobacterium tuberculosis with low virulence. The pharyngeal lupus is the same as lupus in other areas, characterized by insidious onset and painless development. The course of the disease progresses very slowly, the general symptoms are mild, and the pharyngeal discomfort and adhesion are often felt. The swallowing is slightly inconvenient, usually without sore throat, and the general condition is better. The uvula is often the first site, which in turn invades the tongue and the soft palate, but the tonsils are rarely violated.
Cause
Cause
The cause of pharyngeal apple-like nodules
More secondary to the face and nose. The pathogenic bacteria are Mycobacterium tuberculosis with low virulence.
Examine
an examination
Related inspection
Nasopharyngeal MRI examination of otolaryngology CT examination
Examination of pharyngeal apple-like nodules
The pharyngeal lupus is the same as lupus in other areas, characterized by insidious onset and painless development. When lupus occurs on the face or nose, and typical applesauce-like nodules occur in the pharynx, the diagnosis is easy, but a biopsy is still needed to confirm the diagnosis.
The course of the disease is extremely slow, and patients often don't know when to get sick. The general symptoms are mild, often feel pharyngeal discomfort and sticky feeling, swallowing is slightly inconvenient, usually no sore throat, the general condition is better. The uvula is often the first site, which in turn invades the tongue and the soft palate, but the tonsils are rarely violated. According to the clinical process, it can be divided into four phases.
1. Submucosal infiltration: The mucosa is pale, swollen, slightly dry and shiny, and loses softness.
2. Nodular proliferative phase: lupus nodular color is reddish or yellowish, as large as millet, most nodules are aggregated into granular lupus lesions, and nodules on the lesion are sometimes difficult to identify due to mucosal congestion, coated with adrenaline fluid The nodule often shows a typical apple sauce color.
3. Ulcer period: nodules ulcerated into ulcers, the surface may be covered with white pseudomembrane, the ulcer is generally shallow, the edge bulge contains nodules, and the bottom often has granulation.
4. Scar formation period: ulcers can often self-heal and form smooth scars, which can be shortened due to soft palate contraction.
Diagnosis
Differential diagnosis
Symptoms of pharyngeal applesauce-like nodules
The presence of scattered grayish white herpes in the pharynx is one of the important clinical manifestations of enterovirus infection. Oropharynx vesicular lesions: Oropharynx vesicular lesions are a clinical condition caused by B herpesvirus infection. Pharyngeal congestion may have pharyngitis. Pharyngitis is a very common upper respiratory tract infection, often caused by colds and colds. Almost everyone has had the experience of the disease in their lifetime. Some people are sicker, some are heavier, some have People are easy to get, and some people don't often get it. Pharyngeal foreign body sensation is not a unique disease, but a combination of some symptoms. It includes a feeling of blockage, pressure, leafiness, stenosis, dryness, burning, itching, anthillness or other discomfort. Its causes are numerous, sometimes quite complex, organic and functional. Functionality is also known as pharyngeal paraesthesia, laryngeal paraesthesia, plum nuclear gas, pharyngeal neurosis, and sputum.
