Recurrent respiratory papillomatosis in a survivor of extreme prematurity.
Recurrent respiratory papillomatosis (RRP) is a rare disease in children. Previous reports suggested that prematurity and early age of presentation were poor prognostic factors. We report on a 24-week premature infant who presented with stridor, weak cry, and hoarseness of voice at age 9 months (corrected age), in whom the diagnosis of RRP was not made until age 21 months (corrected age). Laser excision of RRP was subsequently performed, and the child is still surviving at age 2.5 years. RRP should be considered in the differential diagnosis of airway problems in survivors of extreme prematurity; the prognosis is not uniformly poor in premature infants.
Lee
S L
SL
Department of Paediatrics and Adolescent Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.
Hui
Y
Y
D019723:Endoscopes; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D020704:Laryngoscopes; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010212:Papilloma / Q000175:diagnosis* / Q000601:surgery; D012135:Respiratory Sounds / Q000209:etiology; D012142:Respiratory Tract Neoplasms / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery