Dysphonia and vocal fold telangiectasia in hereditary hemorrhagic telangiectasia.

OBJECTIVE

This case report is the first documentation of dysphonia and vocal fold telangiectasia as a complication of hereditary hemorrhagic telangiectasia (HHT).

METHODS

Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness.

RESULTS

Hoarseness corresponded with a period of anticoagulation. Endoscopy revealed vocal fold scarring, vocal fold telangiectasias, and plica ventricular is suggestive of previous submucosal vocal fold hemorrhage and subsequent counterproductive compensation with ventricular phonation.

CONCLUSION

Hereditary hemorrhagic telangiectasia may present as dysphonia with vocal fold telangiectasias and place patients at risk of vocal fold hemorrhage.