Case Report: A 5-month-old girl Presented with Subglottic Hemangioma

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Jiranun Weerakul Thamonpan Kiatvitchukul Worawan Jittam Klaita Srising Nawaporn Lertsawatwichha Chadarthan Luangsawang

Abstract

Subglottic hemangioma, an abnormal vessel in airway, is uncommon disease in infant. The initial
symptoms presents within 2-6 months of life. The symptoms are stridor and dyspnea which may be
life threatening airway obstruction. This present case was a five months girl with respiratory distress at
the age of two months old. Physical examination showed severe inspiratory and expiratory stridor.
The investigations, consisted of CT chest, cardiac catheterization and bronchoscope, supported the diagnosis
of subglottic hemangioma. The managements were oral prednisolone and propranolol with five days improved.
Thus, when the patient was diagnosed as subglottic hemangioma, the first line of treatment should be
oral medication due to the good clinical outcome and low adverse event

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Case Report
Author Biographies

Jiranun Weerakul

Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000

Thamonpan Kiatvitchukul

Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000

Worawan Jittam

Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000

Klaita Srising

Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000

Nawaporn Lertsawatwichha

Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000

Chadarthan Luangsawang

Department of Otolaryngology, Faculty of Medicine, Naresuan University, Phitsanulok, 65000