{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:36:16Z","timestamp":1777563376312,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:p>A man in his late 60s, with a history of psoriatic arthritis, presented with a 10-year history of hoarseness and exertional dyspnea. Flexible laryngostroboscopy demonstrated bilateral true vocal cord immobility resting in paramedian positions with glottic airway space reduction at ~5 to 10\u2009mm on respiration. A contrast-enhanced computed tomography scan of the neck was performed to assess for a lesion along the course of the recurrent laryngeal nerves (RLNs), and it confirmed the findings of vocal cord immobility, evidenced by enlarged pyriform sinus and laryngeal ventricle, medialization and thickening of the aryepiglottic folds, and anteromedial deviation of the arytenoid cartilage, but no lesions along the RLNs. In the absence of structural, neurologic, or malignant causes, the findings were suggestive of cricoarytenoid joint fixation secondary to psoriatic arthritis. While cricoarytenoid arthritis is associated with other rheumatologic conditions, its association with psoriatic arthritis is exceedingly rare, with only 1 previously documented case. Our case highlights the importance of considering psoriatic arthritis in the workup of bilateral vocal cord immobility, particularly in patients with no other identifiable cause.<\/jats:p>","DOI":"10.1177\/01455613251401879","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T11:51:55Z","timestamp":1767959515000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Vocal Cord Immobility Secondary to Psoriatic Arthritis: A Rare Clinical Case"],"prefix":"10.1177","author":[{"given":"Kyle","family":"Tong","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Ottawa, ON, Canada"},{"name":"Ottawa Hospital Research Institute, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logan","family":"Milne","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Campbell","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Ottawa, ON, Canada"},{"name":"Ottawa Hospital Research Institute, ON, Canada"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, The Ottawa Hospital, University of Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7489-0822","authenticated-orcid":false,"given":"Marlise P.","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Ottawa, ON, Canada"},{"name":"Ottawa Hospital Research Institute, ON, Canada"},{"name":"Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, ON, Canada"},{"name":"Section of Neuroradiology, The Ottawa Hospital, ON, Canada"},{"name":"Brain and Mind Research Institute, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180de4d49"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43163-022-00322-x"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196307000-00001"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/103081"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"970","article-title":"Cricoarytenoid rheumatoid arthritis: an important consideration in aggressive lesions of the larynx","volume":"26","author":"Chen JJ","year":"2005","unstructured":"Chen JJ, Branstetter BFIV, Myers EN. Cricoarytenoid rheumatoid arthritis: an important consideration in aggressive lesions of the larynx. AJNR Am J Neuroradiol. 2005;26(4):970-972.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1994.01880260084016"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2020.36.74.18891"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.200986"},{"issue":"3","key":"e_1_3_2_10_2","first-page":"89","article-title":"Bilateral cricoarytenoid arthritis: a cause of recurrent upper airway obstruction in rheumatoid arthritis","volume":"23","author":"Pradhan P","year":"2016","unstructured":"Pradhan P, Bhardwaj A, Venkatachalam VP. Bilateral cricoarytenoid arthritis: a cause of recurrent upper airway obstruction in rheumatoid arthritis. Malays J Med Sci. 2016;23(3):89-91.","journal-title":"Malays J Med Sci"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251401879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251401879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251401879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:18Z","timestamp":1777401558000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251401879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":9,"alternative-id":["10.1177\/01455613251401879"],"URL":"https:\/\/doi.org\/10.1177\/01455613251401879","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"article-number":"01455613251401879"}}