Granulomatous Inflammation Causing Severe Supraglottic Edema and Airway Obstruction in a Pediatric Patient.
| Autor: | Colevas, Sophia M., Gietman, Bradley T., Cook, Shelly M., Kille, Tony L. |
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| Předmět: |
CROHN'S disease diagnosis
CROHN'S disease TRACHEOTOMY GRANULOMA INJECTIONS INFLAMMATORY bowel diseases AIRWAY (Anatomy) STEROIDS INFLAMMATION LASER therapy SEVERITY of illness index RESPIRATORY obstructions EPIGLOTTIS diseases SLEEP apnea syndromes EDEMA FAMILY history (Medicine) DISEASE complications CHILDREN |
| Zdroj: | ENT: Ear, Nose & Throat Journal; Nov2022, Vol. 101 Issue 9, pNP375-NP378, 4p |
| Abstrakt: | A 12-year-old male with a family history of inflammatory bowel disease presented with sleep-disordered breathing and was found to have chronic, granulomatous swelling of the supraglottic larynx. His airway was managed with tracheostomy, regular interval laryngeal steroid injections, supraglottoplasty, and "pepper pot" CO2 laser resurfacing leading to eventual decannulation. Due to the non-necrotic nature of the granulomatous inflammation, as well as the patient's family history of inflammatory bowel disease, the leading diagnosis was Crohn disease, but isolated laryngeal sarcoidosis could not be ruled out. There are only 13 reported cases of laryngeal manifestations of Crohn disease in the literature, with only 2 cases occurring in pediatric patients. This case report adds to this body of literature and discusses strategies for managing granulomatous supraglottic edema when definitive diagnosis is not fully clear. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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