Recurrent respiratory papillomatosis: A case of persistent stridor in an 18-month-old child

Authors

  • Kelsie Ovenell, OMS-IV Midwestern University Arizona College of Osteopathic Medicine
  • Binh Phung, DO, MHA Oklahoma State University Center for Health Sciences College of Osteopathic Medicine, Department of Pediatrics
  • Sister Mary Rafqa Boulous, DO Oklahoma State University Center for Health Sciences, Department of Pediatrics
  • DanThuy N Doa, DO Midwestern University Arizona College of Osteopathic Medicine, Department of Pediatrics

Keywords:

Recurrent respiratory papillomatosis (RRP), human papillomavirus (HPV), laryngeal papillomatosis

Abstract


Recurrent respiratory papillomatosis (RRP) is characterized by non-cancerous verrucous, polypoid, wart-like growths occurring at the junctions of the squamous respiratory and ciliary epithelium, particularly the larynx. It is thought to be caused by acquisition of human papilloma virus (HPV) during pregnancy or passage through the birth canal of an infected mother. This case report describes an 18-month-old female who presented to the emergency department due to persistence of biphasic stridor unrelieved with dexamethasone and racemic epinephrine nebulized treatments. Pediatric otorhinolaryngologist performed laryngoscopy, which revealed bilateral papillomatous lesions of the larynx causing airway obstruction.

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Published

2019-04-17

Issue

Vol. 3 No. 1 (2019)

Section

Medical

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