| Autor: |
Carvalho, Henrique, Nikolay, Paula, Albino Medeiros, Leonardo, Rafael Sabel, Bruno, Carminati Cimolin, Laura, Rauber, Patricia |
| Předmět: |
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| Zdroj: |
International Archives of Otorhinolaryngology; 2022 Supplement, Vol. 26, p21-21, 1/5p |
| Abstrakt: |
Introduction: Subglottic hemangioma is a rare cause of stridor and accounts for 1.5% of congenital laryngeal anomalies. It usually presents before 12 months as an inspiratory or biphasic stridor, which can be fatal if not diagnosed and treated early. Suspicion should be raised in the patient who was asymptomatic in the first weeks of life and starts an insidious stridor and respiratory distress. The condition can be confused with acute laryngitis, however, the absence of flu prodromes and the uncharacteristic age group rule out this diagnosis. Hemangioma usually decreases between 6 to 12 months and most patients have regression of the lesion by 4 years of age. Resumed report: A 4-month-old male with stridor, without flu-like symptoms or fever, who started insidiously with signs of respiratory distress and choking. The adrenaline and corticosteroids nebulization results in just a slight improvement. Tracheoscopy demonstrated a hemangiomatous lesion in the subglottic region causing obstruction of 80% of the lumen. Treatment was promptly started with propranolol with complete improvement of respiratory distress and stridor within the first days of treatment. On the seventh day a new tracheoscopy revealed a notable lesion regression, this time causing obstruction of 20% of the lumen. The patient was discharged from the hospital and undergoes regular outpatient follow-up. Conclusion: Subglottic hemangioma is a cause of infant stridor that should always be considered in the differential diagnosis. Its identification avoids unnecessary tests and treatments and the early initiation of treatment prevents complications that could be fatal. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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