This case report is the first documentation of dysphonia and vocal fold telangiectasia as a complication of hereditary hemorrhagic telangiectasia (HHT).
Methods:
Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness.
Results:
Hoarseness corresponded with a period of anticoagulation. Endoscopy revealed vocal fold scarring, vocal fold telangiectasias, and plica ventricularis suggestive of previous submucosal vocal fold hemorrhage and subsequent counterproductive compensation with ventricular phonation.
Conclusion:
Hereditary hemorrhagic telangiectasia may present as dysphonia with vocal fold telangiectasias and place patients at risk of vocal fold hemorrhage.
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