Explore the case of a 78-year-old man with COPD on inhaled steroids who develops dysphonia. Learn about the diagnostic process for white laryngeal plaques.
A 78-year-old man with chronic obstructive pulmonary disease (COPD) presented with a 2-month history of dysphonia. For the past 10 years, he had used an inhaled glucocorticoid daily to manage his COPD. Fiberoptic laryngoscopy revealed white plaques on both vocal cords. A biopsy showed hyperkeratinized stratified squamous epithelium and threadlike filaments that stained with Grocott-Gomori methenamine silver stain. What is the most likely diagnosis?
What is the most likely diagnosis?
COPD, Dysphonia, Grocott-Gomori stain, Inhaled corticosteroids, Laryngeal candidiasis
