a1 Department of Paediatric Otolaryngology, at the Hospitals for Sick Children, Great Ormond Street, London.
a2 Department of Histopathology at the Hospitals for Sick Children, Great Ormond Street, London.
Laryngeal involvement with Candida is usually secondary to pulmonary candidiasis and is seen in patients with impaired immunity. We report a case of isolated laryngeal candidiasis involving the vestibular folds and presenting with stridor in a one-year-old child with Down's syndrome and hypogammaglobulinaemia. Vestibular fold reduction and fluconazole achieved resolution of the disease. Candidiasis should be considered in any potentially immunodeficient child presenting with symptoms of laryngeal disease.
(Accepted October 16 1991)
c1 Mr E. W. Fisher, Senior Registrar in Otolaryngology, The Royal National Throat, Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.