CLINICAL HISTORY.—This 10-month-old boy was referred to our care with a history of several bouts of "laryngotracheobronchitis." Laryngeal stridor was the most troublesome problem and was severe enough on the last occasion to require emergency tracheostomy. Subsequent attempts to remove the tracheostomy tube precipitated bouts of acute respiratory distress.
Physical Examination.—Between the acute bouts of respiratory distress the patient was alert, active, and only mildly dyspneic. Coarse breath sounds were heard over both lung fields, and expiratory wheezes were present on the right. No other pertinent findings were present except for those noted on direct laryngoscopy. These findings consisted of coarsely thickened and nodular vocal
Roentgenograms were obtained of the larynx (Fig 1), chest (Fig 2), and a biopsy of the larynx was obtained.
Denouement and Discussion
Juvenile Laryngeal Papillomatosis With Spread to the Lungs
Papillomatosis of the larynx is a benign neoplastic condition of unknown etiology, but suspected to
Gwinn JL, Lee FA, Fagan CJ, Swischuk LE. Radiological Case of the Month. Am J Dis Child. 1972;123(2):139–140. doi:10.1001/archpedi.1972.02110080117013
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: