Dysphonia and Vocal Fold Telangiectasia in Hereditary Hemorrhagic Telangiectasia

Objective: This case report is the first documentation of dysphonia and vocal fold telangiectasia as a complication of hereditary hemorrhagic telangiectasia (HHT). Methods: Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness. Results: Hoarseness corresponded with a period of anticoagulation. Endoscopy revealed vocal fold scarring, vocal fold telangiectasias, and plica ventricularis suggestive of previous submucosal vocal fold hemorrhage and subsequent counterproductive compensation with ventricular phonation. Conclusion: Hereditary hemorrhagic telangiectasia may present as dysphonia with vocal fold telangiectasias and place patients at risk of vocal fold hemorrhage.