Pseudo-croup – acute laryngitis Review article
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Abstract
Croup covers a whole group of disorders of the larynx, trachea and bronchi. It is especially dangerous for children – due to their specific anatomical and physiological conditions, which mean that the stridor can only occur when the child is crying or moving. The most common etiological factors of croup are viruses. Typical symptoms include stridor, cough (barking, seal-like), hoarseness, activation of additional respiratory muscles. The diagnosis of croup symptoms is based on physical examination and anamnesis. The aim of the procedure is to assess the severity of symptoms on the basis of the Westley scale (this is what determines further management and treatment), identifying children with a severe form of the disease and rapid progression of changes, and starting pharmacotherapy. In pharmacotherapy, glucocorticosteroids (nebulized or orally) and adrenaline (nebulized) are used. Currently, mesh inhalers, which are more efficient and convenient to use, are preferred in nebulization treatment.
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