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Subglottic acute lymphoblastic leukaemia
  1. Shilpa Ojha1,
  2. Julian Gaskin2 and
  3. Michael Saunders3
  1. 1 Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK
  2. 2 ENT, University Hospitals Bristol NHS Foundation Trust, Bristol, Bristol, UK
  3. 3 University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  1. Correspondence to Shilpa Ojha, shilpaojha4{at}


Acute lymphoblastic leukaemia (ALL) is one of the the most common malignancies of childhood and can occasionally present as acute airway obstruction. We present the unusual case of a 1-year-old boy who was referred to our Paediatric Otolaryngology (ENT) clinic with a recurrent history of croup. This is the first reported case of localised ALL presenting as a subglottic mass in a paediatric patient. It highlights the need to have a broader differential diagnosis in children presenting with ‘recurrent croup’ including extramedullary presentation of leukaemia and to have a low threshold for performing endoscopy in such cases.

  • malignant and benign haematology
  • paediatric oncology
  • otolaryngology / ENT

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  • Contributors SO: Write-up and literature review. JG and MS: Clinical assessment and management, supervisory roles.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.