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Subglottic haemangioma — RACP Paediatrics MCQ

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HardRespiratorySubglottic haemangiomaRACP Paediatrics

A 3-month-old infant presents with progressive biphasic stridor over several weeks. On examination there is a cutaneous 'strawberry' haemangioma in the beard distribution of the face. What is the most likely cause of the stridor?

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Correct answer: D — Subglottic haemangioma

Cutaneous haemangiomas in the beard distribution (mandibular/submental region) are associated with subglottic haemangioma, which can cause progressive airway obstruction. Propranolol is the first-line treatment. Biphasic stridor suggests a fixed subglottic lesion.

Reference: RCH Melbourne – 2023 – Stridor CPG; RACP Paediatric Curriculum – Respiratory