Laryngeal Manifestations of Crohn's Disease in a Toddler with Very Early Onset-IBD

xlomafota13 shared this article with you from Inoreader Laryngeal Manifestations of Crohn's Disease in a Toddler with Very Early Onset-IBD Via otol rhinol Ann Otol Rhinol Laryngol. 2021 Mar 4:3489421998214. doi: 10.1177/0003489421998214. Online ahead of print. ABSTRACT OBJECTIVES: We report obstructing laryngeal manifestations of Crohn's disease in a toddler with very early onset-IBD (VEO-IBD) who required tracheotomy tube placement at 27 months of age for relief of recalcitrant airway obstruction unresponsive to maximal medical therapy. We review the literature for the frequency of extra-intestinal laryngeal manifestations of Crohn's disease in adults and children. METHODS: Case report and literature review of laryngeal manifestations of Crohn's disease. RESULTS: Laryngeal involvement of Crohn's disease is very rare with only 14 other cases reported. Most cases appear in adults, with the supraglottis most commonly affected. This case marks the youngest report and only the second report of a patient requiring a tracheotomy for supraglottic obstruction when intensive medical management, including use of steroids and biologics, failed to relieve obstructing laryngeal inflammation. Despite ongoing Crohn's disease, laryngeal manifestations improved permitting decannulation the following year. CONCLUSIONS: Laryngeal manifestations of Crohn's disease are rare and usually affect adults. Most cases are managed with medical therapy, however surgical excision of obstructing lesions or tracheotomy placement is sometimes required for temporary relief of airway obstruction. PMID:33657845 | DOI:10.1177/0003489421998214 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.