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Published on: March 11, 2014
Recurrent respiratory papillomatosis with esophageal involvement
P S Batra1, R L Hebert, G K Haines
1Department of Otolaryngology-Head and Neck Surgery, Northwestern University Medical School, Division of Pediatric Otolaryngology, The Children's Memorial Hospital, 2300 Children's Plaza Box #25, 60614, Chicago, IL, USA.
Summary
Recurrent respiratory papillomatosis (RRP) can affect the esophagus in children. Endoscopy is crucial for diagnosing esophageal papillomas, particularly with laryngeal or post-cricoid involvement.
Area of Science:
- Pediatric Otolaryngology
- Gastroenterology
- Medical Case Reports
Background:
- Recurrent respiratory papillomatosis (RRP) is a rare condition caused by human papillomavirus (HPV).
- RRP primarily affects the larynx but can extend to other respiratory and digestive tract areas.
- Diffuse esophageal involvement in pediatric RRP is uncommon.
Observation:
- A case of a child with RRP presenting with extensive esophageal papillomas is described.
- The patient exhibited significant laryngeal lesions and post-cricoid involvement.
- Diagnostic procedures included endoscopy.
Findings:
- The case highlights the potential for widespread esophageal papillomatosis in pediatric RRP.
- Endoscopic visualization confirmed the presence and extent of esophageal lesions.
- Literature review supports the association between laryngeal and esophageal papillomas.
Implications:
- Early detection of esophageal involvement in RRP is vital for comprehensive patient management.
- Endoscopy should be considered in pediatric RRP patients with laryngeal or upper esophageal lesions.
- This case underscores the importance of a multidisciplinary approach in managing complex RRP cases.
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