Abstract

Juvenile recurrent respiratory papillomatosis in pregnancy: a case report

Highlights

  • Recurrent respiratory papillomatosis (RRP) is a rare disease of the larynx, prevalence of which is 1.11 per 100,000 in the western world.[1]

  • We present a case of Juvenile Onsent Recurrent Respiratory Papillomatosis in Pregnancy seen at 7 weeks age of gestation

  • Recurrent respiratory papillomatosis (RRP) is a rare disease of the larynx caused by infection with human papillomaviruses (HPV) -6 or -11, associated with significant morbidity and on occasion mortality.[10]

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Summary

Introduction

Recurrent respiratory papillomatosis (RRP) is a rare disease of the larynx, prevalence of which is 1.11 per 100,000 in the western world.[1]. We present a case of Juvenile Onsent Recurrent Respiratory Papillomatosis in Pregnancy seen at 7 weeks age of gestation. Patient was referred back to ENT for clearance and closes monitoring as well as to Perinatology service and was seen at 12 weeks age of gestation At this time, patient complaints of increasing episodes of dyspnea, upon examination of ENT service, there was note of papillomatous lesion completely obliterating the airway at the level of the glottis. Other concerns brought up included the monitoring of the progression of the disease since RRP in pregnancy was associated with increased recurrence, the possibility of growth restriction, the risk for recurrent upper respiratory tract infection, the plans for delivery and the anesthesia to be used. Labor was augmented with oxytocin and after 6 hours, delivered by forceps assisted delivery under epidural anesthesia to a live preterm baby boy apgar score 9,9 birth weight of 2282 grams, birth length of 49.5cm, ballard score of 35 weeks appropriate for gestational age

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