Scleroma - the chronic infectious disease amazing a mucosa of respiratory ways.

Signs, current. Disease is characterized by the slow current progressing for many years. In initial stages dense infiltrates in the form of flat or tuberous eminences are formed, settle down mainly in places of physiological narrowings: before a nose, postnarises, a nasopharynx, space under cords of a larynx, at a bifurcation of a trachea, at bifurcations of bronchuses. In later stage infiltrates cicatrize, causing that narrowing of a lumen of respiratory ways and frustration of respiration. Usually the scleroma grasps simultaneously some pieces of respiratory ways. Less often process is localized in one site.

Scleroma of a nose (rhinoscleroma). Complaints of the patient are reduced mainly to sensation of dryness of a nose. In connection with an atrophy of a mucosa the poor viscous discharge with formation of crusts, sometimes the luscious smell reminding a smell of decaying fruit is observed.

Scleroma of pharynx. Process usually extends from a nasal cavity through postnarises. The soft palate is amazed basically. The cicatrization of infiltrates conducts to deformation of a soft palate. Deformation can sometimes lead to almost full dissociation of a nasopharynx and a stomatopharynx. More often these changes are combined with a pathology of a nose and a larynx, characteristic for a scleroma.

Scleroma of a larynx. Infiltrates are symmetrized usually from both parties in the field of under-складочного spaces, less often in vestibular cords, voice cords, arytenoid cartilages and an epiglottis; being exposed to a cicatrization, they often cause disturbance of a voice and stenoses of a larynx.