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Related Experiment Videos

The pale epiglottitis--a misnomer or not?

P Wurtele

    The Journal of Otolaryngology
    |December 1, 1984
    PubMed
    Summary

    Acute epiglottitis can present with a pale epiglottis, deviating from typical red swelling. This variant may lead to sudden apnea or abscess formation, requiring aggressive treatment.

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    Area of Science:

    • Otolaryngology
    • Pediatric Emergency Medicine

    Background:

    • Acute epiglottitis typically presents with erythematous and edematous epiglottic swelling.
    • Leading authors have noted a pale epiglottis in some acute epiglottitis cases.

    Observation:

    • A literature review revealed scarce information on the pale epiglottis phenomenon in acute epiglottitis.
    • The spectrum of epiglottic appearance in acute epiglottitis includes variable erythema and edema.

    Findings:

    • A pale epiglottis variant of acute epiglottitis can have a treacherous clinical course.
    • Four of 12 reported cases experienced sudden apnea; two developed abscesses despite treatment.

    Implications:

    • Aggressive antibiotic and steroid therapy are recommended for pale epiglottitis.
    • Prophylactic nasotracheal intubation may be considered for this variant.