Differentiating croup from other diseases: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 35: Line 35:
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Angioneurotic edema]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Angioneurotic edema]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[swelling] of the [[dermis]], [[subcutaneous]], [[mucosa]] and [[submucosal]] tissues. Can occur in the [[upper respiratory]] system and result in [[stridor]] and [[respiratory arrest]], requiring emergency treatment. Acquired [[angioneurotic edema]] results from an [[allergic]] reaction and be treated with [[epinephrine]].<ref name="pmid20667117">{{cite journal |vauthors=Cicardi M, Zanichelli A |title=Acquired angioedema |journal=Allergy Asthma Clin Immunol |volume=6 |issue=1 |pages=14 |year=2010 |pmid=20667117 |pmc=2925362 |doi=10.1186/1710-1492-6-14 |url=}}</ref>  
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[swelling]] of the [[dermis]], [[subcutaneous]], [[mucosa]] and [[submucosal]] tissues. Can occur in the [[upper respiratory]] system and result in [[stridor]] and [[respiratory arrest]], requiring emergency treatment. Acquired [[angioneurotic edema]] results from an [[allergic]] reaction and be treated with [[epinephrine]].<ref name="pmid20667117">{{cite journal |vauthors=Cicardi M, Zanichelli A |title=Acquired angioedema |journal=Allergy Asthma Clin Immunol |volume=6 |issue=1 |pages=14 |year=2010 |pmid=20667117 |pmc=2925362 |doi=10.1186/1710-1492-6-14 |url=}}</ref>  
|-
|-
|}
|}

Revision as of 17:05, 2 February 2016

Croup Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Classification

Differentiating Croup from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

Other Diagnostic Studies

Treatment

Medical Therapy

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Differentiating croup from other diseases On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Differentiating croup from other diseases

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Differentiating croup from other diseases

CDC on Differentiating croup from other diseases

Differentiating croup from other diseases in the news

Blogs on Differentiating croup from other diseases

Directions to Hospitals Treating Croup

Risk calculators and risk factors for Differentiating croup from other diseases

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Croup must be differentiated from other upper respiratory diseases and conditions that cause airway obstruction around the larynx, as well as those that present similar symptoms to influenza.

Differentiating Croup from Other Diseases

Croup must be differentiated from other upper respiratory diseases and conditions that cause airway obstruction around the larynx:[1][2]

The table below summarizes the differences between croup and other upper respiratory conditions with similar symptoms:

Disease Findings
Epiglottitis Typically presents with fever, difficulty swallowing, dysphonia, drooling, and stridor. Can rapidly progress to include cyanosis and asphyxiation and is much more severe than croup; it is often an emergency requiring intubation.[3]
Subglottic stenosis Presents with stridor and difficulty breathing; can be a life-threatening emergency requiring intubation to remove the airway obstruction.[4]
Bacterial tracheitis Presents with barking cough, stridor, fever, chest pain, ear pain, difficulty breathing, headache, dizziness. Symptoms, particularly fever, are more severe than croup. Requires antibiotic treatment.[5]
Retropharyngeal abscess Presents with neck pain, stiff neck, torticollis and may include enlarged cervical lymph nodes, fever, malaise, stridor, and barking cough. Requires tonsillectomy and use of antibiotics.[6]
Angioneurotic edema Presents with swelling of the dermis, subcutaneous, mucosa and submucosal tissues. Can occur in the upper respiratory system and result in stridor and respiratory arrest, requiring emergency treatment. Acquired angioneurotic edema results from an allergic reaction and be treated with epinephrine.[7]

References

  1. Everard ML (2009). "Acute bronchiolitis and croup". Pediatr. Clin. North Am. 56 (1): 119–33, x–xi. doi:10.1016/j.pcl.2008.10.007. PMID 19135584.
  2. Cherry JD (2008). "Clinical practice. Croup". N. Engl. J. Med. 358 (4): 384–91. doi:10.1056/NEJMcp072022. PMID 18216359.
  3. de Vries CJ, de Jongh E, Zwart S, van den Akker EH, Opstelten W (2015). "[Epiglottitis in adults in general practice: difficult to recognise and life-threatening]". Ned Tijdschr Geneeskd (in Dutch; Flemish). 159: A9061. PMID 26332815.
  4. "Subglottic Stenosis | Otolaryngology - Head and Neck Surgery | Baylor College of Medicine | Houston, Texas".
  5. Al-Mutairi B, Kirk V (2004). "Bacterial tracheitis in children: Approach to diagnosis and treatment". Paediatr Child Health. 9 (1): 25–30. PMC 2719512. PMID 19654977.
  6. Craig FW, Schunk JE (2003). "Retropharyngeal abscess in children: clinical presentation, utility of imaging, and current management". Pediatrics. 111 (6 Pt 1): 1394–8. PMID 12777558.
  7. Cicardi M, Zanichelli A (2010). "Acquired angioedema". Allergy Asthma Clin Immunol. 6 (1): 14. doi:10.1186/1710-1492-6-14. PMC 2925362. PMID 20667117.