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  • Title: The pale epiglottitis--a misnomer or not?
    Author: Wurtele P.
    Journal: J Otolaryngol; 1984 Dec; 13(6):406-8. PubMed ID: 6544858.
    Abstract:
    Several leading authors on acute epiglottitis have reported a pale appearance of the swelling of the epiglottis in otherwise seemingly classical cases of acute epiglottitis. In order to understand this phenomenon better, a thorough review of the literature was done but only scarce comments were gathered. There seems to be a spectrum of appearance of the epiglottis in acute epiglottitis, the erythema as well as the edema varying independently from mild to marked. A striking feature of this type of epiglottitis is that, despite seemingly appropriate treatment, a most treacherous evolution was reported: four out of 12 cases presented a severe sudden apnea and two others developed an abscess. Aggressive antibiotherapy and steroidotherapy are suggested as well as a prophylactic nasotracheal intubation.
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