Graft-vs-host disease as a cause of enlargement of the epiglottis in an immunocompromised child

Citation
Ji. De Diego et al., Graft-vs-host disease as a cause of enlargement of the epiglottis in an immunocompromised child, ARCH OTOLAR, 127(4), 2001, pp. 439-441
Citations number
13
Categorie Soggetti
Otolaryngology,"da verificare
Journal title
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
ISSN journal
08864470 → ACNP
Volume
127
Issue
4
Year of publication
2001
Pages
439 - 441
Database
ISI
SICI code
0886-4470(200104)127:4<439:GDAACO>2.0.ZU;2-Z
Abstract
We report a rare case of dyspnea due to enlargement of the epiglottis in a severely immunocompromised patient. The child underwent a previous tracheos tomy at another hospital because of respiratory distress under the diagnosi s of acute epiglottitis. The patient was subsequently decannulated without incident. One year later, the child developed a new episode of dyspnea with inspiratory strider. A new tracheostomy was neccessary, and a biopsy speci men of the enlarged epiglottis was taken to confirm the diagnosis of graft- vs-host disease. The therapeutic measures in these situations are discussed below, and a review Of the current literature concerning the etiology and management of epiglottic enlargement is performed.