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[Subglottic haemangioma]

Henrik Lind1, Tatjana Zaharov, Christian Godballe

  • 1Øre-næse-halskirurgisk Afdeling F, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C.

Ugeskrift for Laeger
|October 9, 2014
PubMed

Insights

Subglottic hemangioma, a rare infantile condition, presents diagnostic challenges due to symptoms mimicking croup. Early diagnosis and propranolol treatment are crucial for infants with recurrent stridor and cough.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Pediatric Dermatology

Background:

  • Subglottic hemangioma (SGH) is a rare infantile condition.
  • Clinical presentation often mimics croup, complicating diagnosis.
  • Visualization of the subglottic space presents challenges.

Observation:

  • A two-month-old infant presented with recurrent hospitalizations for progressive croupal cough and stridor.
  • Laryngoscopy confirmed the diagnosis of subglottic haemangioma.
  • The infant was treated with propranolol.

Findings:

  • Propranolol treatment initiated for subglottic haemangioma showed positive effects within 48 hours.
  • This case highlights the importance of considering SGH in infants with persistent croupal symptoms.

Implications:

  • Subglottic haemangioma should be considered in the differential diagnosis of infants presenting with recurrent croupal cough and stridor.
  • Prompt diagnosis and treatment, such as with propranolol, can lead to rapid symptom improvement.
  • Increased awareness among clinicians can improve diagnostic timelines for this rare condition.

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