Mainly in infants and young children, occurring inflammation and its consequences is also to parents demanding. Because fear strengthens the symptoms.


Under croup or subglottic laryngitis refers to a non-specific inflammation of the mucous membrane of the upper airway in the larynx below the vocal cords (glottis). Croup is characterized by barking cough and hoarseness. In severe cases occurring aggravated dyspnea, which occurs due to the partial closure of the respiratory tract, the disease process.

Of the disease mainly infants and young children aged six months to six years are affected, rarely teenagers or young adults. Because of the larynx in infants is still very tight and there is a swelling effect than in older children or young people, especially young children are more affected by the disease. Compared to pseudocroup there are also the so-called real Krupp, wherein This is the hardly occurring laryngeal diphtheria.


Causes of croup

Croup is usually caused by viruses, less often caused by bacteria. Parainfluenza viruses are the most common pathogens. But also the spread in the context of an allergic reaction is possible. In feuchtkaltem weather in autumn and winter comes heaped on the croup, also favor the occurrence of air pollutants. As with other respiratory diseases pseudo-croup is more common in smokers’ families.


Pseudo-Krupp is expressed in paroxysmal, dry, barking cough, hoarse and loud whistling noise when breathing – typically most suddenly in the night without a sign. The symptoms may be accompanied by mild to severe fever. The symptoms arise because of the pseudo-croup, in the form of an inflammation of the mucous membrane swelling of the larynx, especially on the vocal cords. The breathing should be practiced by the young patients in a great effort. In addition, even tough mucus obstruct the airway.

In severe cases with severe constriction in the larynx can cause shortness of breath. Signs of strained breathing, the collection of the intercostal spaces is in the child. In case of insufficient oxygen supply occur as a result heart rate (tachycardia) and blueness of the lips and fingernails (cyanosis) on.
Still has a reinforcing effect on the symptoms, the subjective feeling of breathlessness that results in children often fear and anxiety. This may subsequently lead to even Erstickungsängsten and palpitations.

Treatment of croup

In severe breathing problems a nebulisation of adrenaline leads to swelling of the mucous membrane. Cortisone preparations in the form of suppositories are also effective.It is important to the soothing action of the parent to child. Understandably, the parents in this situation, however, very excited and make this important first measure is not always what it would be desirable. It is calming the most important aspect of pseudo-croup-related shortness of breath, since the oxygen consumption is lower, the less anxiety the child experiences and the more peaceful it behaves. In severe cases, and with continued deterioration in the condition the child is hospitalized at the hospital.

Differentiation from other diseases with similar symptoms

¤ Distinguished from croup is the most severe and genuine with other symptoms, but also rare Krupp.
¤ Nor should pseudocroup not be confused with the much more dangerous, acute inflammation of the epiglottis, the epiglottis.
¤ Foreign bodies in the larynx in young children are just as feasible as well as the childhood disease whooping cough.


In general, croup is highly treatable. After surviving the disease, however, is unfortunately not told that the croup does not recur. Croup tends to occur more than once.