[Treatment of subglottic laryngitis (pseudocroup): steroids instead of steam].

Abstract

Traditionally, steaming with warm moist air was recommended for the treatment of subglottic laryngitis (pseudocroup). However, no favourable effect has ever been demonstrated. Consequently, steaming is no longer to be advised. Systemic corticosteroids, already of proven effectiveness in severe croup, were shown to be also effective when administered in a single oral dose in moderately severe disease. Besides, in various studies, nebulisation of budesonide (2000 micrograms) with a jet nebuliser had a good effect on the clinical course of croup. However, dose-effect studies are still lacking. A single dose of corticosteroids, either systemic or inhaled via a jet nebuliser, should be the first line therapy in moderate and severe croup syndrome. In milder cases no specific treatment is needed as the disease is self-limiting.

• Authors: R J Roorda, C M Walhof, P L Brand
• Journal: Nederlands tijdschrift voor geneeskunde (Ned Tijdschr Geneeskd) Vol. 142 Issue 29 Pg. 1658-62 (Jul 18 1998) ISSN: 0028-2162 [Print] Netherlands
• Vernacular Title: Behandeling van laryngitis subglottica (pseudokroep): steroïden in plaats van stomen.
• PMID: 9763857 (Publication Type: English Abstract, Journal Article, Review)

Chemical References

• Anti-Inflammatory Agents
• Steam
• Steroids

Topics

• Administration, Inhalation
• Administration, Oral
• Anti-Inflammatory Agents (administration & dosage)
• Child
• Child, Preschool
• Croup (therapy)
• Female
• Hot Temperature (therapeutic use)
• Humans
• Infant, Newborn
• Male
• Steam
• Steroids