A 56-year old Turkish woman was admitted to the ear, nose, andthroat clinic with a 6-month history of difficulty in swallowing, especiallysolid food. She had no significant medical or surgical historyexcept for a 30-pack-per-year history of smoking. Her complete bloodcount showed eosinophilia (eosinophils; 8.4%), and serological examinationshowed elevated serum immunoglobulin E (IgE) with a value of 1920IU/mL. On flexible fiberoptic endoscopic examination, thickening andcoarseness of the epiglottis was seen. Other laryngeal structures were normal.There was no history of allergies or drug intake. Contrast-enhancedcomputed tomography (CT) of the neck was performed (Figure 1). CT revealeda thickening of the epiglottis and multiple cervical lymph nodes,each measuring up to 1 cm across (Figure 1). The signal intensity of theepiglottis was low on T1-weighted images (WIs) (Figure 2a) and high onT2-WIs (Figure 2b). Diffuse contrast enhancement was seen after intravenousgadolinium injection (Figure 2c).
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