2개월된 환자에서 진단된 성문하 혈관종 1례
A Two-Month-Old Infant with Subglottic Hemangioma
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초록
성문하 혈관종은 소아에게서 선천적인 천음을 일으키는 원인 중 흔한 원인은 아니지만, 성문하 혈관종으로 인한 기도폐쇄가 심할 경우 응급으로 기관절개를 하거나 기도 삽관을 해야 하는 상황을 초래할 수도 있다. 얼굴에 피하 혈관종을 가진 2개월 환아에서 성문하 혈관종을 조기 진단하여, 스테로이드 단독 치료로 증상의 호전을 보였다. 안면부에 피하 혈관종을 가진 환아에서 천음이 발생하면 성문하 혈관종을 감별하기 위한 진단적 검사가 필요할 것으로 사료된다.
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.
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