Chronic use of Advair inhaler along with intermittent doses of prednisone lead to a recurrent fungal laryngitis. The white patches grow on the edges of the vocal cords.
I had seen her 3 months earlier for her tracheostomy tube which had been removed and she had completely normal vocal cords at that point. The swelling beneath her vocal cords is from the previous tracheostomy tube scar. She then developed hoarseness, which I would attribute to using a Flovent inhaler.
She has used steroid inhalers and develops recurrent fungal infections of the larynx. Presently she is on Pulmicort when the current infection developed. She has almost no voice. The vocal cords are very stiff and during stroboscopy the edges do not align.
Bacterial laryngitis:
This 73-year-old male had intermittent hoarseness in the past. 6 weeks prior to his visit he developed hoarseness that did not go away. On his exam, he had a red, dry, crusty irritation.
Laryngeal tuberculosis in an ethnic Asian who developed a cough when he returned to his home country for a symposium. He had been treated for laryngeal tuberculosis many years ago.
He again had tuberculosis in his sputum and these lesions on his left vocal cord. He was again treated for tuberculosis.
