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October 1984

Laryngotracheitis and Croup-Reply

Author Affiliations

Division of Clinical Pharmacology The Hospital for Sick Children 555 University Ave Toronto, Ontario, Canada M5G 1X8

Am J Dis Child. 1984;138(10):992. doi:10.1001/archpedi.1984.02140480093035

In Reply.—In our study,1 all admitted cases of croup were assessed. Naturally these included severe, moderate, and mild cases. In referring to the respiratory rates presented, one should remember that these were measured during sleep, which was induced by chloral hydrate. All these children had had much higher respiratory rates while they were awake; however, as stated, we believe that respiratory rates in an awakened child represent also his emotional state and not only the severity of his disease.2 The mean respiratory rates are comparable with other studies of children with croup from the same age group.3

I agree with Drs Orr and Caplan that mild croup is usualy a self-limited disease. Yet, more than a few pediatricians tend to treat it with corticosteroids since, in many cases, one cannot predict the course of the croup attack, and a mild disease at the time of diagnosis

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