Polish Journal of Paediatrics
en POLSKI
eISSN: 2300-8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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SCImago Journal & Country Rank
2/2025
vol. 100
 
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abstract:
Review paper

Juvenile-onset recurrent respiratory papillomatosis

Anna Karwowska
1
,
Aleksandra Wojno
1
,
Karolina Dorobisz
1

  1. Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, Wrocław, Poland
Pediatr Pol 2025; 100 (2): 173-176
Online publish date: 2025/06/01
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Juvenile-onset recurrent respiratory papillomatosis (JORRP) is a rare disease caused by an infection of human papillomavirus (HPV) – most commonly types 6 and 11. These types of HPV are vaccine-preventable. The virus is transmitted vertically. Human papillomavirus can alter immune response by reducing interferon-γ and interleukin-2 expression. Most JORRP patients develop symptoms before the age of 5 years. In severe cases this disease can lead to airway obstruction or malignant transformation. The treatment primarily consists of surgery as well as intralesional or systemic bevacizumab therapy or adjuvant therapy. Patients who develop symptoms at a younger age usually need more surgeries than older patients with JORRP. To reduce the incidence rate of JORRP, HPV vaccination is recommended.
keywords:

recurrent respiratory papillomatosis, HPV, papilloma, paediatric disease, juvenile-onset recurrent respiratory papillomatosis

 
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