{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:05Z","timestamp":1787016965714,"version":"build-2736575974"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,5]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Sarcoidosis is a rare multisystem disorder of unknown aetiology characterised by non-caseating granulomas in involved organs; it is a diagnosis of exclusion. Laryngeal involvement affects only 0.5%\u20135% of those with sarcoidosis. It is an uncommon but important cause of supraglottic inflammation and oedema and should be considered in the differential diagnosis in patients with supraglottitis. This case describes a 30-year-old man who presented with stridor and shortness of breath. Flexible nasendoscopic examination revealed a grossly oedematous, pale pink, diffusely hypertrophied epiglottis. Surgical biopsy revealed non-caseating granulomatous inflammation. In the context of exclusion of hepatitis, anti-neutrophil cytoplasmic antibody (ANCA) positivity, malignancy and mycobacterial infection, the diagnosis of supraglottic laryngeal sarcoid was made. He is being treated with azathioprine immunosuppression with symptomatic improvement.<\/jats:p>","DOI":"10.1136\/bcr-2019-232369","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T05:45:19Z","timestamp":1578980719000},"page":"e232369","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Supraglottic laryngeal sarcoidosis masquerading as supraglottitis"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1876-3674","authenticated-orcid":false,"given":"Samuel Robert","family":"Leedman","sequence":"first","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Fiona Stanley Hospital, Murdoch, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-6171","authenticated-orcid":false,"given":"Thomas","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Fiona Stanley Hospital, Murdoch, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis William","family":"Leahy","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Fiona Stanley Hospital, Murdoch, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hall","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Fiona Stanley Hospital, Murdoch, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,13]]},"reference":[{"key":"2025082712154012000_13.1.e232369.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.10.001"},{"key":"2025082712154012000_13.1.e232369.2","unstructured":"Woods CR . Epiglottitis (supraglottitis): clinical features and diagnosis, 2019."},{"key":"2025082712154012000_13.1.e232369.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.24.3300"},{"key":"2025082712154012000_13.1.e232369.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2005.10.010"},{"key":"2025082712154012000_13.1.e232369.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80115-8"},{"key":"2025082712154012000_13.1.e232369.6","doi-asserted-by":"publisher","DOI":"10.1177\/000348949510400705"},{"key":"2025082712154012000_13.1.e232369.7","first-page":"118","article-title":"[Diagnosis and therapy of laryngeal sarcoidosis]","volume":"33","author":"Jakse","year":"1985","journal-title":"HNO"},{"key":"2025082712154012000_13.1.e232369.8","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1007\/s003300101136","article-title":"Ct findings in a case of laryngeal sarcoidosis","volume":"12","author":"Ferretti","year":"2002","journal-title":"Eur Radiol"},{"key":"2025082712154012000_13.1.e232369.9","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.16"},{"key":"2025082712154012000_13.1.e232369.10","first-page":"40","article-title":"Endoscopic findings in arytenoid sarcoidosis","volume":"11","author":"Mariotta","year":"1994","journal-title":"Sarcoidosis"},{"key":"2025082712154012000_13.1.e232369.11","doi-asserted-by":"crossref","DOI":"10.1148\/131.3.636","article-title":"Sarcoidosis of the larynx","volume":"131","author":"Vico","year":"1979","journal-title":"Radiology"},{"key":"2025082712154012000_13.1.e232369.12","first-page":"489","article-title":"[Long-term manifestations of laryngeal sarcoidosis]","volume":"40","author":"Benedict","year":"1992","journal-title":"HNO"},{"key":"2025082712154012000_13.1.e232369.13","first-page":"245","article-title":"Sarcoidosis of the larynx treated with CO2 laser","volume":"14","author":"Ruff","year":"1985","journal-title":"J Otolaryngol"},{"key":"2025082712154012000_13.1.e232369.14","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198007000-00018"},{"key":"2025082712154012000_13.1.e232369.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.03.010"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:15:51Z","timestamp":1756322151000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,13]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-232369"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232369","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}