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Previous Volume 358:384-391 January 24, 2008 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

Crouplike symptoms develop in a previously healthy 2-year-old girl at 11 p.m. She is seen in an emergency department 2 hours later with a barking cough and, when upset, inspiratory stridor. Her temperature is 36.1°C, respiratory rate 20 breaths per minute, heart rate 151 beats per minute, and oxygen saturation 94% while she is breathing ambient air. She has mild sternal retractions . . . [Full Text of this Article]

The Clinical Problem

Classification

Epidemiologic Features

Pathological Features and Pathogenesis

Strategies and Evidence

Evaluation

            Differential Diagnosis

            Assessment of Severity

Treatment

            Acute Laryngotracheitis and Spasmodic Croup

            Humidified Air

            Corticosteroid Therapy

            Epinephrine

            Other Treatments

            Laryngotracheobronchitis and Laryngotracheobronchopneumonitis

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Infectious Diseases, Mattel Children's Hospital UCLA, and the Department of Pediatrics, David Geffen School of Medicine at UCLA — both in Los Angeles.

Address reprint requests to Dr. Cherry at the Dept. of Pediatrics, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave., MDCC 22-442, Los Angeles, CA 90095-1752, or at jcherry@mednet.ucla.edu.

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