Merck Manual

Please confirm that you are not located inside the Russian Federation

honeypot link

Recurrent Respiratory Papillomatosis

By

The Manual's Editorial Staff

Reviewed/Revised Jul 2022 | Modified Sep 2022
VIEW PROFESSIONAL VERSION
Get the full details

What is recurrent respiratory papillomatosis (RRP)?

RRP is a rare condition that causes one or more growths on a child’s voice box.

  • RRP is most common in children 1 to 4 years old

  • It causes a change in the child's voice, and sometimes difficulty breathing

  • Doctors usually do surgery to remove the growths

  • Many children will need several surgeries throughout childhood, because the growths keep coming back

What causes RRP?

RRP is caused by human papillomavirus (HPV). HPV is the same virus that causes genital warts Genital Warts HPV is a virus that causes warts. There are many types of HPV. Some types of HPV cause warts on your skin Other types of HPV cause warts on your genitals (genital warts) Some of the types of... read more . RPR can be passed from an infected mother with genital warts through the birth canal to her baby at birth. Luckily, most infants who are infected with HPV don't get RRP.

What are the symptoms of RRP?

  • Weak cry

  • Hoarse or scratchy voice

  • Difficulty breathing if the growths have spread to the lungs or windpipe

How can doctors tell if my child has RRP?

Doctors usually look down your child's throat with a viewing tube and look at your child’s voice box If they see a growth, they'll remove a small bit of it to look at under a microscope.

How do doctors treat RRP?

  • Doctors usually do surgery or use a laser to remove the growths

Several treatments may be needed. Doctors sometimes also give antiviral medicines.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
VIEW PROFESSIONAL VERSION
quiz link

Test your knowledge

Take a Quiz!
iOS ANDROID
iOS ANDROID
iOS ANDROID
TOP