Allergic Laryngitis

Allergic Laryngitis: symptoms, diagnosis and treatment

Allergic laryngitis is a disease characterized by inflammation of the vocal cords and accompanying tissues of the larynx caused by an allergic reaction. It often develops at night and is manifested by croup syndrome - restlessness, difficulty breathing, barking cough, cyanosis of the lips and nasolabial triangle. Voice saved.

Depending on the severity of the child’s condition, there are four degrees of development of subglottic laryngitis:

I degree - breathing is compensated, the attack is short;
II degree (subcompensation) - auxiliary muscles participate in the act of breathing, cardiac activity increases;
III degree (decompensation) - severe shortness of breath with a sharp retraction of the compliant areas of the chest, local cyanosis;
IV degree (asphyxia) - severe cyanosis, unconsciousness, cardiac arrest.

The diagnosis of allergic laryngitis is based on the clinical picture and the detection of elevated levels of IgE in the blood. If the diagnosis is questionable, it is necessary to make a differential diagnosis with acute stenosing laryngotracheitis of infectious origin.

Treatment of allergic laryngitis depends on the severity of the disease.
In grade I, it is recommended to take a warm sitz bath with a gradual increase in water temperature to 42-43 °C, drink plenty of warm Borjomi solution, steam inhalations with a 2% sodium bicarbonate solution, orally or intramuscularly diphenhydramine, ephedrine. Hospitalization is not necessary.

In grade II, hospitalization is required. Desensitizing agents and antispasmodics are administered parenterally, and a 10% solution of calcium gluconate (1 ml per year of life) and seduxen are added to them.

In case of stage III of the disease, dehydration therapy and corticosteroids are additionally prescribed to this therapy. If ineffective, intubation or tracheotomy is performed. Hospitalization is required.

The prognosis for grade I is favorable. In grades II-IV, the prognosis depends on the correctness of the treatment.

In general, allergic laryngitis is a serious disease that requires careful and timely treatment. When the first symptoms of the disease occur, you should consult an otolaryngologist for examination and diagnosis. Prompt initiation of treatment can help prevent complications and improve the prognosis of the disease. Also, to prevent recurrent cases of allergic laryngitis, it is necessary to eliminate the factors that cause allergic reactions in the child, for example, avoid contact with allergens, take antiallergic drugs, and follow a diet.