Elsevier

The Lancet

Volume 371, Issue 9609, 26 January–1 February 2008, Pages 329-339
The Lancet

Seminar
Croup

https://doi.org/10.1016/S0140-6736(08)60170-1Get rights and content

Summary

Most children who present with acute onset of barky cough, stridor, and chest-wall indrawing have croup. A careful history and physical examination is the best method to confirm the diagnosis and to rule out potentially serious alternative disorders such as bacterial tracheitis and other rare causes of upper-airway obstruction. Epinephrine delivered via a nebuliser is effective for temporary relief of symptoms of airway obstruction. Corticosteroids are the mainstay of treatment, and benefit is seen in children with all levels of severity of croup, including mild cases.

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