A Two-Month-Old Infant with Subglottic Hemangioma / 소아알레르기및호흡기학회지

ABSTRACT

Subglottic hemangioma is a rare condition which has the potential to cause life-threatening complications during the pediatric period. The most common presenting symptom is inspiratory and expiratory stridor, which is often exacerbated by crying and upper respiratory tract infection. The natural history of subglottic hemangioma is characterized by progressive airway obstruction during the proliferative phase for the first year, but after 1 year of age, the symptoms resolve spontaneously as the lesion regresses. We report a 50-day-old infant with subglottic hemangioma who suffered from episodes of cyanosis and persistent stridor with viral pneumonia. In addition, she had cutaneous hemangioma on her right cheek. The hemangioma was successfully controlled with just systemic steroids, because the lesion occupied 40% of total subglottic space. We concluded that if an infant with cutaneous hemangioma displays biphasic then stridor subglottic hemangioma should be included in differential diagnosis.