Abstract
Inspiratory stridor is a common symptom in infants that may be both a cause of worry for parents and a diagnostic challenge for clinicians. While laryngomalacia, which often does not require treatment, is the most common cause for stridor, other possible diagnoses should always be taken into consideration. We present a case of a one year old boy with stridor, in which different diagnostic procedures revealed various possible diagnoses. With a history of prematurity and neonatal intensive care treatment the initial suspicion of laryngomalacia was challenged by several parallel findings during airway endoscopy. While subsequent radiological examinations suggested different diagnoses, an infantile hemangioma of the larynx was finally diagnosed and treatment with propranolol was initiated. The described case highlights various challenges of the diagnostic process in an infant with stridor.
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