Sarcoidosis of the pediatric larynx

Sarcoidosis is a chronic granulomatous disease of unknown pathogenesis. Rep orts of sarcoidosis are much less common in the pediatric literature than i n the adult literature, The disease is usually systemic; rarely, however, s ingle organs are affected. Isolated laryngeal involvement is an unusual pre sentation We report a well-documented case, of isolated laryngeal sarcoidos is in a 14-year-old white boy who presented to our institution with a 6-mon th history of dysphonia, dyspnea on exertion, and extremely sonorous snorin g at night awing to his supraglottic airway disease. To our knowledge, this is only the second case of isolated laryngeal sarcoidosis reported in the pediatric literature. We review the literature and discuss the differential diagnosis, diagnostic evaluation, and treatment with carbon dioxide laser epiglottectomy and intralesional glucocorticoid deposition, which resulted in marked resolution of our patient's symptoms.