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Related Experiment Videos

Wheezy swallow: poorly responsive 'asthma'.

Samson C Kwok1, Edward V O'Loughlin, Alyson M Kakakios

  • 1Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. kwoks@wahs.nsw.gov.au

Journal of Paediatrics and Child Health
|December 19, 2007
PubMed
Summary
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Two children with cough and wheeze were misdiagnosed with asthma. Investigations revealed achalasia, a rare esophageal disorder, as the true cause, emphasizing the need for broader differential diagnoses.

Area of Science:

  • Pediatric Gastroenterology
  • Pulmonology
  • Rare Diseases

Background:

  • Asthma is a common diagnosis for pediatric cough and wheeze.
  • Misdiagnosis can lead to delayed or ineffective treatment.

Observation:

  • Two children presented with persistent cough and wheeze.
  • Initial asthma diagnosis and treatment yielded suboptimal results.

Findings:

  • Diagnostic investigations, including chest X-ray and pulmonary function tests, identified achalasia.
  • Achalasia, a rare esophageal motility disorder, was the underlying cause of respiratory symptoms.

Implications:

  • Highlights the importance of considering non-respiratory causes for persistent respiratory symptoms in children.

Related Experiment Videos

  • Underscores the diagnostic value of imaging and pulmonary function tests in challenging cases.
  • Emphasizes the need for a comprehensive differential diagnosis in pediatric respiratory complaints.