A red flag in sarcoidosis: laryngeal obstruction.

with these measures there is always the risk of irreversible damage to the vocal cords, potentially causing permanent changes in vocal tone and phonation. Today, after 18 months of treatment the patient is doing well and FEV 1 remains stable in the range of 2.9–3 liters (78–80% of predicted value). Laryngeal involvement in sarcoidosis causing upper airway obstruction is rare but potentially life-threatening. Thus, new onset dyspnea, stridor and typical lung functional limitations should be considered as a red flag in sarcoidosis as treatment options need to be evaluated immediately [2] to prevent tracheotomy.