Ckleroma

Ckleroma - a chronic infectious disease that affects the respiratory tract mucosa. Pathogen - stick Frisch - Volkovich. Ways and means of infection have not been established. Endemic foci exist in many countries of the world, the Soviet Union are in Western Ukraine and Belarus.

Symptoms within. The disease is characterized by slow flow, progressing over the years. In the initial stages of formation of dense infiltrate hilly or flat elevations, which typically do not ulcerate, preferably located in places restrictions physiologic: in advance of the nose, Joan, nasopharynx, larynx podskladochnom space, at the carina, bronchi in branching. At a later stage infiltrates scarring, causing luminal narrowing of the airways and respiratory distress. Usually scleroma captures multiple airway segments. Less commonly, the process is localized in one area. nose scleroma (rinoskleroma). The complaints of the patient are reduced mainly to a feeling of dryness and nasal congestion. In connection with mucosal atrophy observed scant viscous secretions to form crusts, sometimes cloying odor resembling rotting fruit. When rhinoscopy in the entrance area of ​​the nose can be seen uneven infiltration. If they are located in the nasal vestibule, the external nose deformity occurs. The wings of the nose infiltrated, protruded.

Scleroma throat. The process is usually spread from the nasal cavity through choanae. Mainly affects the soft palate. Scarring infiltration leads to deformation of the soft palate and palatine arches, often back. Sometimes deformation can lead to almost complete fragmentation of the nasopharynx and oropharynx. Most of these changes are combined with nose and throat disorders, characteristic scleroma.

Scleroma larynx. Infiltrates are usually located symmetrically on both sides in the field of podskladochnogo space, at least on the vestibular folds, vocal cords, arytenoid cartilage and epiglottis; subjected to scarring, they often cause a violation of voice and laryngeal stenosis. Skleromny process may spread to the trachea and bronchi, leading ultimately to their stenosis.

Diagnosis. To recognize skleromnogo process used serological tests Wasserman, Bordeaux - Zhang, histological examination of biopsy and sputum on sticks Frisch - Volkovich. accommodation of the patient should be considered in areas where scleroma found. Treatment. No specific treatment. The favorable results obtained by streptomitsinoterapii and radiotherapy. For surgical treatment are probing, removal and alektrokoagulyatsiya infiltrates. .