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Laringitis

La laringitis es una inflamación de la laringe que suele deberse a una infección o a un traumatismo y que puede ser aguda o crónica. En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum esta enfermedad, los LOS Neisseria 2 pliegues de las membranas mucosas que componen las cuerdas vocales se inflaman e irritan. La inflamación provoca una distorsión de la voz producida, dando lugar a un sonido ronco que puede llevar a la incapacidad de producir cualquier sonido (afonía) en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum casos graves. En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum presencia de una causa infecciosa, los LOS Neisseria pacientes suelen presentar también rinorrea, tos TOS Thoracic outlet syndrome (TOS) is a broad term used for a spectrum of syndromes related to the general region of the thoracic outlet, which involves the compression or irritation of elements of the brachial plexus, subclavian artery, or subclavian vein. Thoracic Outlet Syndrome y un leve dolor Dolor Inflammation de garganta.

Last updated: Dec 15, 2025

Editorial responsibility: Stanley Oiseth, Lindsay Jones, Evelin Maza

Etiología

La laringitis puede ser secundaria a una infección, a una alergia, a un traumatismo, a lesiones benignas o malignas, a una disfunción neurológica, a problemas funcionales o a causas sistémicas (véase la tabla).

Causas de la laringitis aguda Causas de la laringitis crónica
Viral (más común):
  • Rinovirus
  • Virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology de la influenza Influenza Influenza viruses are members of the Orthomyxoviridae family and the causative organisms of influenza, a highly contagious febrile respiratory disease. There are 3 primary influenza viruses (A, B, and C) and various subtypes, which are classified based on their virulent surface antigens, hemagglutinin (HA) and neuraminidase (NA). Influenza typically presents with a fever, myalgia, headache, and symptoms of an upper respiratory infection. Influenza Viruses/Influenza
  • Virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology de la parainfluenza
  • Adenovirus Adenovirus Adenovirus (member of the family Adenoviridae) is a nonenveloped, double-stranded DNA virus. Adenovirus is transmitted in a variety of ways, and it can have various presentations based on the site of entry. Presentation can include febrile pharyngitis, conjunctivitis, acute respiratory disease, atypical pneumonia, and gastroenteritis. Adenovirus
  • Coronavirus Coronavirus Coronaviruses are a group of related viruses that contain positive-sense, single-stranded RNA. Coronavirus derives its name from “κορώνη korṓnē” in Greek, which translates as “crown,” after the small club-shaped proteins visible as a ring around the viral envelope in electron micrographs. Coronavirus
  • Virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology respiratorio sincitial
  • Los LOS Neisseria sistemas inmunitarios comprometidos pueden sufrir infecciones por herpes, VIH o coxsackievirus Coxsackievirus Coxsackievirus is a member of a family of viruses called Picornaviridae and the genus Enterovirus. Coxsackieviruses are single-stranded, positive-sense RNA viruses, and are divided into coxsackie group A and B viruses. Both groups of viruses cause upper respiratory infections, rashes, aseptic meningitis, or encephalitis. Coxsackievirus
Bacteriana:
  • Estreptococo del grupo A
  • Streptococcus Streptococcus Streptococcus is one of the two medically important genera of gram-positive cocci, the other being Staphylococcus. Streptococci are identified as different species on blood agar on the basis of their hemolytic pattern and sensitivity to optochin and bacitracin. There are many pathogenic species of streptococci, including S. pyogenes, S. agalactiae, S. pneumoniae, and the viridans streptococci. Streptococcus pneumoniae
  • Corynebacterium diphtheriae Corynebacterium diphtheriae Diphtheria is an infectious disease caused by corynebacterium diphtheriae that most often results in respiratory disease with membranous inflammation of the pharynx, sore throat, fever, swollen glands, and weakness. The hallmark sign is a sheet of thick, gray material covering the back of the throat. Diphtheria
  • Moraxella catarrhalis Moraxella catarrhalis Gram-negative aerobic cocci of low virulence that colonize the nasopharynx and occasionally cause meningitis; bacteremia; empyema; pericarditis; and pneumonia. Moraxella
  • Haemophilus influenzae Haemophilus Influenzae A species of Haemophilus found on the mucous membranes of humans and a variety of animals. The species is further divided into biotypes I through viii. Haemophilus
  • Bordetella pertussis Bordetella pertussis A species of gram-negative, aerobic bacteria that is the causative agent of whooping cough. Its cells are minute coccobacilli that are surrounded by a slime sheath. Bordetella
  • Bacillus anthracis Bacillus anthracis A species of bacteria that causes anthrax in humans and animals. Anthrax
  • Mycobacterium tuberculosis Mycobacterium tuberculosis Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis complex bacteria. The bacteria usually attack the lungs but can also damage other parts of the body. Approximately 30% of people around the world are infected with this pathogen, with the majority harboring a latent infection. Tuberculosis spreads through the air when a person with active pulmonary infection coughs or sneezes. Tuberculosis
Fúngica:
  • Histoplasma Histoplasma Histoplasmosis is an infection caused by Histoplasma capsulatum, a dimorphic fungus. The fungus exists as a mold at low temperatures and as yeast at high temperatures. H. capsulatum is the most common endemic fungal infection in the US and is most prevalent in the midwestern and central states along the Ohio and Mississippi River valleys. Histoplasma/Histoplasmosis
  • Blastomyces Blastomyces Blastomycosis is an infection caused by inhalation of the spores of the fungus, Blastomyces. Blastomyces species thrive in moist soil and decaying material and are common in the Ohio and Mississippi River valleys and the Great Lakes regions of the United States and Canada. Although most patients are asymptomatic, some can develop pneumonia. Blastomyces/Blastomycosis
  • Cándida (pacientes inmunocomprometidos)
  • Cryptococcus Cryptococcus Cryptococcosis is an opportunistic, fungal infection caused by the Cryptococcus species. The principal pathogens in humans are C. neoformans (primary) and C. gattii. Cryptococcus neoformans is typically found in pigeon droppings and acquired by inhaling dust from contaminated soil. The majority of affected patients are immunocompromised. Cryptococcus/Cryptococcosis
  • Coccidioides Coccidioides Coccidioidomycosis, commonly known as San Joaquin Valley fever, is a fungal disease caused by Coccidioides immitis or Coccidioides posadasii. When Coccidioides spores are inhaled, they transform into spherules that result in infection. Coccidioidomycosis is also a common cause of community-acquired pneumonia and can cause severe disease in the immunocompromised. Coccidioides/Coccidioidomycosis
Trauma: gritos excesivos, intubación reciente, cantos
  • Alergias
  • Daños en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria nervios
  • Reflujo ácido
  • Trastornos autoinmunes
  • Defectos anatómicos (e.g., pólipos, nódulos, llagas, cáncer en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la laringe)
  • Irritantes (e.g., toxinas inhaladas, vapores químicos, humo de tabaco, consumo crónico de alcohol, goteo postnasal)
  • Disfonía por tensión muscular
  • Disfunción neurológica (e.g., lesión del nervio laríngeo recurrente unilateral en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el postoperatorio)
  • Enfermedad neurológica (e.g., Parkinson, miastenia gravis)
  • Trauma
  • Accidente cerebrovascular

Presentación Clínica

Antecedentes

  • Factores desencadenantes: infección respiratoria superior concurrente, uso/abuso vocal, exposición a alérgenos o toxinas
  • Tabaquismo, consumo de alcohol, nuevos medicamentos
  • Cirugía reciente o pasada de la cabeza y/o el cuello
  • Traumatismos recientes o pasados que afecten a la cabeza y/o al AL Amyloidosis cuello

Signos y Síntomas (variables)

  • Disfonía
  • Voz entrecortada
  • Garganta seca o dolorida
  • Tos TOS Thoracic outlet syndrome (TOS) is a broad term used for a spectrum of syndromes related to the general region of the thoracic outlet, which involves the compression or irritation of elements of the brachial plexus, subclavian artery, or subclavian vein. Thoracic Outlet Syndrome
  • Carraspeo frecuente
  • Aumento de la producción de saliva Saliva The clear, viscous fluid secreted by the salivary glands and mucous glands of the mouth. It contains mucins, water, organic salts, and ptyalin. Salivary Glands: Anatomy
  • Disfagia
  • Globo faríngeo (sensación de nudo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la garganta)
  • Síntomas de resfriado o gripe
  • Ganglios linfáticos inflamados en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el cuello, el tórax o la cara
  • Fiebre
  • Mialgia
  • Dificultad para respirar
  • Fatiga vocal
  • Afonía (incapacidad para emitir un sonido)

Diagnóstico

  • Laringitis por traumatismo: antecedentes de traumatismos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la cabeza y/o el cuello
  • Laringitis viral aguda: se diagnostica por el tono vocal de baja tonalidad y la disfonía
  • Laringitis fúngica: confirmación mediante biopsia y cultivo de las lesiones anormales
  • Laringoscopia o estroboscopia para la visualización directa y completa de las cuerdas vocales verdaderas, las cuerdas vocales falsas, la epiglotis, el seno piriforme; y la vallécula para:
    • Eritema (enrojecimiento)
    • Edema Edema Edema is a condition in which excess serous fluid accumulates in the body cavity or interstitial space of connective tissues. Edema is a symptom observed in several medical conditions. It can be categorized into 2 types, namely, peripheral (in the extremities) and internal (in an organ or body cavity). Edema (hinchazón)
    • Dilatación de los LOS Neisseria vasos sanguíneos (aguda)
    • Tejido laríngeo engrosado y seco (crónico)
    • Rigidez de cuerdas vocales
    • Secreciones viscosas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la proximidad de las cuerdas vocales

Tratamiento

Laringitis aguda Laringitis crónica
Viral
  • Descanso vocal, terapia e higiene bucal
  • Analgésicos
  • Mucolíticos
  • Remedios caseros (agua salada, miel)
  • Hidratación
  • Humidificación
Reflujo
  • Llevar ropa suelta
  • Comidas más pequeñas pero más frecuentes
  • Evitar la cafeína, el alcohol y los LOS Neisseria alimentos picantes
  • Medicamentos de venta libre para neutralizar los LOS Neisseria ácidos (antiácidos)
  • Medicación antirreflujo
Bacteriana
  • Humidificación
  • Antibióticos
  • Corticosteroides
  • Adrenalina nebulizada
Inflamatoria
  • Eliminar el agente irritante si está presente
  • Esteroides nasales tópicos
  • Inmunoterapia
  • Antihistamínicos
Fúngica
  • Medicamentos antimicóticos orales
  • Nistatina tópica ( en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de suspensión o pastilla)
Autoinmune
  • Ciclofosfamida
  • Prednisolona
Trauma
  • Descanso vocal, terapia e higiene
Granulomatosa
  • Corticoides sistémicos

Pronóstico

Aguda

  • Persistente pero autolimitada, que suele resolverse en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum 3 semanas
  • La recuperación mejora cuando el paciente sigue el régimen de tratamiento.
  • En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la laringitis vírica, los LOS Neisseria síntomas pueden persistir durante un período prolongado, incluso cuando la inflamación del tracto respiratorio superior se ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia resuelto.

Crónica

  • Laringitis que persiste durante más de 3 semanas
  • El pronóstico depende de la etiología de la laringitis.
  • En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ausencia de sintomatología de infección de las vías respiratorias altas, los LOS Neisseria pacientes con disfonía de más de 2 semanas deben ser referidos a un examen otorrinolaringológico completo, especialmente en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum presencia de:
    • Factores de riesgo de cáncer de cabeza y cuello asociados (e.g., consumo de tabaco y alcohol)
    • Sintomatología de alarma de una posible malignidad (e.g., hemoptisis, dolor Dolor Inflammation unilateral, disfagia, pérdida de peso inexplicable, dificultad para respirar)

Diagnóstico Diferencial

Las siguientes afecciones se incluyen en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el diagnóstico diferencial de la laringitis:

  • Cualquier condición que se presente con disfagia: los pacientes experimentan dificultad para tragar ciertos alimentos o líquidos, mientras que otros no pueden tragar en absoluto. La disfagia puede presentarse debido a alergias o “resfriados”, deshidratación, enfermedad por reflujo gastroesofágico, ciertos medicamentos o tumores en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la boca, la garganta o el esófago.
  • Enfermedad por reflujo gastroesofágico: movimiento ascendente del ácido gástrico hacia el esófago, que provoca acidez o dolor Dolor Inflammation torácico. El reflujo ácido puede extenderse a la laringe, y la irritación ácida de la laringe puede provocar disfonía.
  • Amigdalitis: inflamación de las amígdalas faríngeas que suele presentarse en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum combinación con una inflamación de la faringe. La amigdalitis es muy común entre los LOS Neisseria niños y adultos jóvenes y está causada principalmente por virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology y estreptococos del grupo A.
  • Carcinoma laríngeo: tumor Tumor Inflammation maligno de la laringe que afecta con mayor frecuencia a los LOS Neisseria hombres de edad avanzada. Los LOS Neisseria factores de riesgo son el tabaquismo y el consumo excesivo de alcohol.
  • Rinitis alérgica: inflamación de la mucosa nasal clasificada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum alérgica, no alérgica e infecciosa. La rinitis alérgica se debe a una reacción de hipersensibilidad de tipo 1. Los LOS Neisseria tres tipos se presentan con congestión nasal, rinorrea y estornudos.

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