Crohn's supraglottitis – The presenting feature of otherwise asymptomatic systemic disease

We present the unique case of a 15 year old boy with upper airway obstruction found to have Crohn's disease in the absence of gastrointestinal symptoms. Laryngeal manifestations of Crohn's disease are extremely rare. Only 11 cases have been reported in the literature, of which only one is in a child. Laryngeal Crohn's disease usually occurs accompanied by gastrointestinal symptoms or in patients with a prior diagnosis of Crohn's disease. The literature on the clinical features and management of laryngeal Crohn's is discussed along with a summary of the reported otolaryngological manifestations and associations with Crohn's disease.