Supraglottic epithelial hyperplasia in association with guttate psoriasis

Supraglottic epithelial hyperplasia is rare in the pediatric population, and typically presents in adults as a sequelae of radiation therapy or progressive autoimmune disease. Guttate psoriasis typically presents in young adults following an inflammatory trigger such as an upper respiratory infection or streptococcal pharyngitis. A case of stridorous episodes heralded by flares guttate psoriasis is presented. Pathologic analysis demonstrated supraglottic epithelial hyperplasia. This case demonstrates a rare cause of stridor and upper airway obstruction in children.