Interesting case of subglottic hemangioma presented with stridor
DOI:
https://doi.org/10.18203/2349-3291.ijcp20233962Keywords:
Subglottic hemangioma, Stridor, Subglottic stenosis, PropranololAbstract
Subglottic hemangioma is a very rare infantile form of hemangioma as compared to cutaneous hemangioma but if left undiagnosed or untreated can be life-threatening. Here we report one case of preterm who presented with sudden onset of inspiratory stridor and respiratory distress in OPD in a previously normal child. The patient was initially misdiagnosed as croup which did not improve after nebulized adrenaline and steroids later on direct laryngobrochoscopy showed subglottic stenosis. A CT scan was done later which revealed subglottic hemangioma which showed complete remission in symptoms after starting oral propranolol. A careful approach towards diagnosing and managing the sudden onset of stridor with probable structural cause is necessary for a favorable outcome.
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Haggstrom AN, Drolet BA, Baselga E, Sarah LC, Maria CG, Kimberly AH et al. Prospective study of infantile hemangiomas: clinical characteristics predicting complications and treatment. Pediatrics. 2006;118(3):882-7.
Rahbar R, Nicollas R, Roger G, Jean-Michel T, Erea-Noel G, Trevor JMcG et al. The biology and management of subglottic hemangioma: past, present, future. Laryngoscope. 2004;114(11):1880-91.
Rahbar R, Nicollas R, Roger G. The biology and management of subglottic hemangioma: past, present, future. Laryngoscope. 2004;114(11):1880-91.
Mulliken JB, Fishman SJ, Burrows PE. Vascular anomalies. Curr Probl Surg. 2000;37(8):517-84.
Ferguson CF, Flake CG. Subglottic hemangioma as a cause of respiratory obstruction in infants. Ann Otol Rhinol Laryngol. 1961;70:1095-112.
Koplewitz BZ, Springer C, Slasky BS, Avraham A, Kammal U, Elie P et al. CT of hemangiomas of the upper airways in children. Am J Roentgenol. 2005;184(2):663-70.
Hardison S, Wan W, Dodson KM. The use of propranolol in the treatment of subglottic hemangiomas: A literature review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2016;90:175-80.
Lee TJ, Messner A. Subglottic hemangioma. Otolaryngol Clin North Am. 2008;41(5):903-ix.
Orlow SJ, Isakoff MS, Blei F. Increased risk of symptomatic hemangiomas of the airway in association with cutaneous hemangiomas in a "beard" distribution. J Pediatr. 1997;131(4):643-6.
George ME, Sharma V, Jacobson J, Simon S, Nopper AJ. Adverse effects of systemic glucocorticosteroid therapy in infants with hemangiomas. Arch Dermatol. 2004;140(8):963-9.
Bajaj Y, Kapoor K, Ifeacho S, Jephson CG, Albert DM, Harper JI et al. Great Ormond Street Hospital treatment guidelines for use of propranolol in infantile isolated subglottic haemangioma. J Laryngol Otol. 2013;127(3):295-8.
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