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Stridor Is Not Always Croup

King-Schultz, Leslie W. MD*; Orvidas, Laura J. MD; Mannenbach, Mark S. MD*‡§

doi: 10.1097/PEC.0000000000000356
Illustrative Cases

Respiratory distress and stridor are common presenting symptoms for children in the emergency department. Most of these children will have common illnesses such as bronchiolitis or croup. Clinicians, however, must maintain a broad differential diagnosis and a healthy skepticism in the approach to each child’s case so as not to miss uncommon or atypical presentations. We describe the case of a child with stridor in whom an airway hemangioma was ultimately diagnosed.

From the Departments of *Pediatric and Adolescent Medicine, and †Otorhinolaryngology—Head and Neck Surgery, and ‡Division of Pediatric and Adolescent Emergency Medicine, §Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Mayo Clinic, Rochester, MN.

Disclosure: The authors declare no conflict of interest.

Reprints: Mark S. Mannenbach, MD, Division of Pediatric and Adolescent Emergency Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (e-mail:

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