Suppr超能文献

新生儿喉黏液水肿致可复性声门下狭窄

Laryngeal myxedema as a cause of reversible subglottic stenosis in a newborn.

机构信息

Department of Otolaryngology, The Royal Children's Hospital Melbourne, 3052, Parkville, Victoria, Australia.

Department of Otolaryngology, The Royal Children's Hospital Melbourne, 3052, Parkville, Victoria, Australia.

出版信息

Int J Pediatr Otorhinolaryngol. 2022 Nov;162:111294. doi: 10.1016/j.ijporl.2022.111294. Epub 2022 Sep 5.

Abstract

Myxedema is a manifestation of severe hypothyroidism, and when affecting the larynx it constitutes a rare cause of upper airway obstruction. We present a case of laryngeal myxedema in a newborn causing subglottic stenosis. The atypical aspect of the stenosis along with a thyroid goiter and a positive screening for neonatal hypothyroidism allowed the diagnosis of laryngeal myxedema. Thyroid hormone replacement and non-invasive ventilation led to quick resolution while avoiding invasive approaches. Laryngeal myxedema is possibly underdiagnosed. Physician awareness is essential to avoid pitfalls in such children with reversible airway obstruction.

摘要

黏液水肿是严重甲状腺功能减退的一种表现,当影响喉部时,它构成了上呼吸道阻塞的罕见原因。我们报告了一例新生儿喉黏液水肿导致声门下狭窄的病例。狭窄的非典型表现,加上甲状腺肿和新生儿甲状腺功能减退症的阳性筛查,有助于诊断喉黏液水肿。甲状腺激素替代和无创通气导致快速缓解,同时避免了有创方法。喉黏液水肿可能被漏诊。医生的意识对于避免这些具有可逆转气道阻塞的儿童出现陷阱至关重要。

相似文献

1
Laryngeal myxedema as a cause of reversible subglottic stenosis in a newborn.新生儿喉黏液水肿致可复性声门下狭窄
Int J Pediatr Otorhinolaryngol. 2022 Nov;162:111294. doi: 10.1016/j.ijporl.2022.111294. Epub 2022 Sep 5.
4
Subglottic stenosis.声门下狭窄
Semin Pediatr Surg. 2016 Jun;25(3):138-43. doi: 10.1053/j.sempedsurg.2016.02.006. Epub 2016 Feb 20.
5
Congenital laryngeal stenosis.先天性喉狭窄
Otolaryngol Clin North Am. 2008 Oct;41(5):865-75, viii. doi: 10.1016/j.otc.2008.04.015.
6
Congenital airway anomalies.先天性气道异常。
Semin Pediatr Surg. 2021 Jun;30(3):151055. doi: 10.1016/j.sempedsurg.2021.151055. Epub 2021 May 23.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验