Asthma and Laryngitis Overview

Asthma and Laryngitis

• Asthma can increase the risk of laryngitis, potentially due to irritant chemicals from inhalers.
• Chronic steroid inhaler use may predispose to fungal laryngitis, especially if patients don't follow instructions to drink plain water afterwards.
• Cough-variant asthma can cause repetitive vocal cord injury, leading to voice changes mimicking acute laryngitis.

Environmental Triggers

• Environmental factors like seasonal allergies, air pollution, and inhalation of noxious substances (e.g., smoking, exposure to chemicals) can trigger laryngeal irritation and edema of the vocal folds.
• Sensitivity to perfumes, colognes, or other common aromatics can also lead to laryngeal symptoms.

Functional Dysphonia

• Functional dysphonia is a group of conversion disorders involving various voice symptoms and physical examination findings.
• It's a diagnosis of exclusion.
• Recent major life stressors are common triggers.

Evaluation and Treatment of Acute Laryngitis

• Thorough history and physical examination are essential.
• Key factors to consider include recent illnesses, systemic illness signs, immune status, immunization history, allergies, travel history, and any other relevant medical conditions (e.g., GERD).
• Common symptoms include voice changes (including aphonia), throat discomfort/pain, dysphagia/odynophagia, dry cough, general dryness, malaise, fever, and frequent throat clearing.
• Referral to an otolaryngologist for laryngeal examination might be necessary.
• Voice rest is the recommended treatment.
• Antihistamines and oral steroids are not recommended treatments.

This quiz covers the relationship between asthma and laryngitis, detailing how asthma can increase the risk of laryngeal irritation. It also explores environmental triggers that exacerbate these conditions and discusses functional dysphonia as a potential complication. Gain insights into evaluation and treatment options for acute laryngeal issues.