Pediatric Update: (Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)
Spasmodic and recurrent croup defines a sudden onset of symptoms, identical to viral croup, at night in a child who has been well. The symptoms last for few hours rather than days and usually there is no fever. The episodes are seldom life threatening. The child may be well during the day and have attacks on 3 to 4 successive evenings. During the first attack, it is difficult to make an accurate diagnostic distinction from viral croup. Spasmodic croup occurs most often in children with atopic tendency.