Croup: steeple sign

Case contributed by Radswiki


Child presents with fever and hoarse cough

Patient Data

Age: 8

X-ray of the neck in a child demonstrate a steeple sign.

Annotated image

Zoomed image of the steeple sign, consistent with croup

Case Discussion

Croup (laryngotracheitis) is a common diagnosis made in children six months to three years of age. Characteristic symptoms include a inspiratory stridor, barking cough, and hoarseness. The most common etiology is  parainfluenza virus

These images are from Dr. Paula Brill's excellent pediatric radiology collection.

Dr. Brill is a professor in the department of radiology (pediatric section) at Weill Cornell.

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Case information

rID: 11342
Published: 20th Oct 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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