II. Epidemiology
- Laryngitis is the most common cause of Hoarseness in adults
III. Definitions
- Acute Laryngitis
- Self-limited vocal cord inflammation lasting shorter than 3-4 weeks
-
Chronic Laryngitis
- Vocal cord inflammation lasting longer than 3-4 weeks
IV. Causes: Infectious Acute Laryngitis
- See Hoarsness Causes
-
Viral Infection (Most common, responsible fo 90% of cases)
- Parainfluenza Virus
- Rhinovirus
- Influenza Virus
- Adenovirus
- Coronavirus
-
Bacterial Infection
- Acute Streptococcal Pharyngitis
- Diphtheria (rare in United States due to Vaccine)
- Moraxella catarrhalis
- Haemophilus Influenzae
- Atypical infections
V. Causes: Non-Infectious Acute Laryngitis
- See Hoarsness Causes
- Acute Voice Abuse
- Persistent coughing
- Allergic Rhinitis
VI. Symptoms
- Hoarseness or harsh voice
- Aphonia (voice breaks intermittently)
- Upper respiratory symptoms (Pharyngitis, cough, nasal congestion) variably present
- Leukocytosis if Bacterial
VII. Differential Diagnosis
VIII. Management
- Increased household humidity
- Voice rest
- Increase hydration
- Analgesics
-
Antibiotics have not been shown to be beneficial
- Reveiz (2007) Cochrane Database Syst Rev (2): CD004783
- Schaleaen (1985) Ann Otol Rhinol Laryngol 94:14 [PubMed]
- Schaleaen (1993) Ann Otol Rhinol Laryngol 102:209 [PubMed]
- Indications for ENT Consultation
- Hoarseness persisting beyond 2-3 weeks
IX. Course
- Viral upper repiratory infection: 3-8 days
X. References
- Caserta in Mandell (2000) Infectious Disease, p. 662
- Feierabend (2009) Am Fam Physician 80(4): 363-70 [PubMed]
- House (2017) Am Fam Physician 96(11): 720-8 [PubMed]
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Related Studies
| Definition (NCI) | An acute inflammatory process affecting the larynx. It is caused by bacteria, viruses, or vocal strain. Signs and symptoms include sore throat, cough, swallowing difficulties, and hoarseness. |
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 464.0 |
| ICD10 | J04.0 |
| SnomedCT | 195690008, 155506009, 6655004 |
| Dutch | laryngitis acuut NAO, laryngitis (acuut), acute laryngitis, Acute laryngitis |
| French | Laryngite aiguë SAI, Laryngite (aiguë), Laryngite aiguë |
| German | Laryngitis (akut), akute Laryngitis, Laryngitis akut NNB, Akute Laryngitis |
| Italian | Laringite acuta NAS, Laringite (acuta), Laringite acuta |
| Portuguese | Laringite aguda NE, Laringite aguda |
| Spanish | Laringitis (aguda), Laringitis aguda NEOM, Laringitis aguda, laringitis aguda, SAI (trastorno), laringitis aguda, SAI, laringitis aguda (trastorno), laringitis aguda |
| Japanese | 喉頭炎（急性）, 急性喉頭炎, 急性喉頭炎ＮＯＳ, ｷｭｳｾｲｺｳﾄｳｴﾝ, ｺｳﾄｳｴﾝｷｭｳｾｲ, ｷｭｳｾｲｺｳﾄｳｴﾝNOS |
| English | laryngitis acute, acute laryngitis (diagnosis), acute laryngitis, Laryngitis (acute), Laryngitis acute NOS, Laryngitis (acute) NOS, Laryngitis;acute, Acute laryngitis, Acute laryngitis NOS (disorder), Laryngitis, Acute laryngitis (disorder), Acute Laryngitis, Acute laryngitis NOS |
| Czech | Akutní laryngitida, Akutní laryngitida NOS, Akutní zánět hrtanu |
| Korean | 급성 후두염 |
| Hungarian | Laryngitis (acut), Laryngitis acut k.m.n., heveny gégegyulladás |
Ontology: Acute suppurative laryngitis (C0396038)
| Concepts | Disease or Syndrome (T047) |
| ICD10 | J04.0 |
| SnomedCT | 195686006 |
| English | acute suppurative laryngitis (diagnosis), laryngitis acute suppurative, acute suppurative laryngitis, Suppurative laryngitis (acute), Acute suppurative laryngitis, Acute suppurative laryngitis (disorder), Acute laryngitis, suppurative |
| Spanish | laringitis supurativa aguda (trastorno), laringitis supurativa aguda |
Ontology: Infective laryngitis (C0729772)
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 312423006 |
| Czech | Infekční laryngitida |
| Dutch | infectieuze laryngitis |
| French | Laryngite infectieuse |
| German | Infektioese Laryngitis |
| Hungarian | Fertőző laryngitis |
| Italian | Laringite infettiva |
| Japanese | ｶﾝｾﾝｾｲｺｳﾄｳｴﾝ, 感染性喉頭炎 |
| Spanish | Laringitis infecciosa, laringitis infecciosa (trastorno), laringitis infecciosa |
| Portuguese | Laringite infecciosa |
| English | Infective laryngitis, Infective laryngitis (disorder) |
Ontology: Viral Laryngitis (C0853195)
| Definition (NCI) | Acute inflammation of the larynx caused by viruses, including rhinovirus, influenza virus, parainfluenza virus, and adenovirus. |
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 441551009 |
| Italian | Laringite virale, Laringite virale NAS |
| Dutch | laryngitis viraal NAO, virale laryngitis, laryngitis viraal |
| French | Laryngite virale SAI, Laryngite virale |
| German | Laryngitis viral NNB, virale Laryngitis |
| Portuguese | Laringite viral NE, Laringite a vírus, Laringite viral |
| Spanish | Laringitis vírica, Laringitis vírica NEOM, inflamación de laringe causada por virus (trastorno), inflamación de laringe causada por virus, Laringitis viral |
| Japanese | ウイルス性喉頭炎, ウイルス性喉頭炎ＮＯＳ, ｳｲﾙｽｾｲｺｳﾄｳｴﾝ, ｳｲﾙｽｾｲｺｳﾄｳｴﾝNOS |
| Czech | Virová laryngitida, Virová laryngitida NOS |
| English | Laryngitis viral NOS, Viral laryngitis, Inflammation of larynx due to virus (disorder), Inflammation of larynx due to virus, Viral Laryngitis, Laryngitis viral |
| Hungarian | virusos laryngitis k.m.n., Viralis laryngitis, virusos laryngitis |
