Laryngotracheitis and Croup-Reply

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Abstract
In Reply.—In our study,1all admitted cases of croup were assessed. Naturally these included severe, moderate, and mild cases. In referring to the respiratory rates presented, one should remember that these were measured during sleep, which was induced by chloral hydrate. All these children had had much higher respiratory rates while they were awake; however, as stated, we believe that respiratory rates in an awakened child represent also his emotional state and not only the severity of his disease.2The mean respiratory rates are comparable with other studies of children with croup from the same age group.3 I agree with Drs Orr and Caplan that mild croup is usualy a self-limited disease. Yet, more than a few pediatricians tend to treat it with corticosteroids since, in many cases, one cannot predict the course of the croup attack, and a mild disease at the time of diagnosis

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