General Differential Diagnoses in a Patient with Hoarseness

HOARSENESS

YesNo

> 2 weeks

Chronic Acute

Systemic/

Endocrine/ Infectious

Neurological/

Neuromuscular

Neoplastic

Carcinoma

Corticosteroid associated hoarseness

Hypothyroidism

Parkinson’s Disease

FunctionalTraumaInfectious

Laryngitis

Influenza

Viral Exanthems

Laryngo-tracheo-

bronchitis

Diphtheria

Syphilis

Viral Exanthems

Medication-associated

Tuberculosis

Atrophic larnygitis

Papilloma

Vocal polyp

Vocal nodules

Submucosal hemorrage

Laryngeal trauma

Foreign body

Intubation

Reinke’s Edema

Myasthenia gravis

Voice overuse

Spasmodic Dysphonia

Granulomatous disease

Anticholinergic associated hoarseness

Rheumatoid arthritis

(cricoarytenoid joints)

Paralysis of recurrent or

superior laryngeal nerves or

both