Recurrent laryngeal apillomatosis. Case report

Abstract

Recurrent respiratory papillomatosis is a rare disease of the upper respiratory tract that affects children and adults, caused by the human papiloma virus serotypes 6 and 11. The disease has a unpredictable course and pulmonary spread also malignant transformationhave been reported. It is a benign tumor manifested by exophytic mass pedunculated and sessile branched reddish or pink color with a thin surface lobed that can occur in single or multiple forms and its growth can cause airway obstruction. A small percentage (2%) can become malignant, transformed into squamous cell carcinoma, especially in cases with lung dissemination and frequent recurrences. This is a three years old preschool patient with a history of presenting dysphonia 1 year of evolution and dyspnea 7-day history of nocturnal predominance; laryngoscopy was performed in which papillomatosis observed in glottic space reduction of 95% of the light, therefore a papilloma resection was practiced. Laryngeal mucosa biopsy reports lined by stratified squamous epithelium with coilocític mature formations at the highest levels without signs of malignancy.

Acta Pediátrica Hondureña, Vol. 6, No. 2 /octubre 2015 a marzo 2016: 495-498