Cetinkaya F, Turgut S
Sisli Etfal Hospital, Istanbul, Turkey.
Int J Pediatr Otorhinolaryngol. 2001 Jan;57(1):41-3. doi: 10.1016/s0165-5876(00)00436-5.
Acute subglottic laryngitis is caused by some viruses and may recur several times in children. Risk factors underlying the recurrences of this disease are obscure. The present study was undertaken to investigate the relation between acute subglottic laryngitis, asthma and allergy.
Twenty five children with recurrent acute subglottic laryngitis were evaluated for risk factors for recurrent respiratory tract infections and allergy. Eight of the children had high IgE levels and six of them were found to be allergic by skin prick tests.
During a 1 year follow-up period four children showed asthma symptoms and in three of these patients recurrences of croup attacks disappeared after asthma treatment with nebulized budesonide.
We concluded that recurrent acute subglottic laryngitis may be an early sign of subsequent asthma development.
急性声门下喉炎由某些病毒引起,在儿童中可能会复发数次。该病复发的危险因素尚不明确。本研究旨在探讨急性声门下喉炎、哮喘与过敏之间的关系。
对25例复发性急性声门下喉炎患儿进行了反复呼吸道感染和过敏危险因素评估。其中8例患儿IgE水平较高,6例经皮肤点刺试验发现过敏。
在1年的随访期内,4例患儿出现哮喘症状,其中3例在雾化布地奈德治疗哮喘后哮吼发作复发消失。
我们得出结论,复发性急性声门下喉炎可能是随后哮喘发生的早期迹象。