Objective:

To report a rare case of bilateral vocal cord immobility secondary to psoriatic arthritis and emphasize the need for clinicians to consider rheumatologic diseases in patients with unexplained voice and breathing abnormalities.

Approach:

Key Findings:

• Bilateral vocal cord immobility was linked to cricoarytenoid joint fixation due to psoriatic arthritis.
• This case represents only the second documented instance of this condition in the literature.
• Early recognition is crucial to prevent life-threatening airway obstruction.

Interpretation:

Cricoarytenoid joint involvement in psoriatic arthritis, though rare, can significantly compromise the airway, necessitating awareness among healthcare providers.

Limitations:

• The case report is based on a single patient, limiting generalizability.
• Long-term outcomes of conservative management are not discussed.

Conclusion:

Healthcare providers should be vigilant for signs of cricoarytenoid joint involvement in psoriatic arthritis patients to ensure timely intervention and prevent airway emergencies.

Sources:

• Ear, Nose & Throat Journal
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