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Review
. 2008 Jan 26;371(9609):329-39.
doi: 10.1016/S0140-6736(08)60170-1.

Croup

Candice L Bjornson  1 , David W Johnson
Affiliations
Review

Croup

Candice L Bjornson et al. Lancet. .

Abstract

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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Figures

Figure
Figure
Algorithm for management of croup in the outpatient setting Reprinted from reference 48 with permission.
See this image and copyright information in PMC

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