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Hoarseness
Leo Leonidas MD, FAAP
WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis. There is a mother in my practice who after reading about Tics in the Internet became extremely worried and vowed not to visit the Internet again and read about her sons health problem. Sometimes too much information is not good for our emotional health if we happen to be a worrier.
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CAUSES OF HOARSENESS IN CHILDREN
INFECTIOUS CAUSES
Acute Laryngitis
Common Colds
Postnasal Drip
Epiglotitis
Laryngotracheitis
Laryngotracheobronchitis
Laryngeal Diphtheria
Tuberculosis
Tetanus
ALLERGIC REACTION
Allergy
Angioneurotic Edema
INJURY
Vocal Nodules
Post-Intubation Hoarseness
Foreign Body
Laryngeal Fracture
Hemorrahge in Vocal Cords
Abnormal Arytenoid Cartilage
Sicca Syndrome
TUMORS
Paryngeal Papillomas (Common in 1 -4 years old)
Vocal Cord Polyps
Hemagioma
Laryngeal Carcinoma
NEUROLOGIC
Vocal Cord Paralysis
Bulbar Poliomyelitis
Thiamine Deficiency (Beriberi)
ANATOMIC ABNORMALITIES
Laryngeal Web
Laryngomalacia
HYSTERICAL CAUSE
OTHERS
Hypothyroidism
Hypocalcemia
Cricoarytenoid Arthritis
Amyloidosis
Gaucher Disease
Lipid Proteinosis
Farber Disease
Mucolipidoses II (I-Cell Disease)
De Lange Syndrome
Reference:
Signs & Symptoms In Pediatrics
2nd Edition, page 245
Tunnessen, Jr
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor
Bangor, Maine: "First City with EBPP (Evidenced Based Pediatrics For Parent)"
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