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Refractory asthma coexisting with a double aortic arch: a case report and literature review

Hyeon Jong Yang1, Bok Yang Pyun

  • 1Department of Pediatrics, Pediatric Allergy & Respiratory Disease Center, College of Medicine, Soonchunhyang University, Yongsan-gu, Seoul, Korea.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|October 16, 2010
PubMed

Insights

Refractory asthma in young children requires investigating compliance, environmental triggers, and comorbidities. A case highlights coexisting double aortic arch in a 2-year-old with poorly controlled asthma.

Area of Science:

  • Pediatrics
  • Cardiology
  • Pulmonology

Background:

  • Asthma management in infants and young children presents unique challenges.
  • Refractory asthma necessitates a thorough evaluation beyond standard treatment protocols.

Observation:

  • A 2-year-old child presented with persistent, poorly controlled asthma symptoms.
  • The child was diagnosed with a rare congenital cardiovascular anomaly: a double aortic arch.

Findings:

  • The co-occurrence of refractory asthma and a double aortic arch suggests a potential link or shared diagnostic considerations.
  • Investigating comorbidities and anatomical variations is crucial in pediatric refractory asthma cases.

Implications:

  • This case underscores the importance of considering congenital anomalies in pediatric refractory asthma.
  • Early diagnosis of conditions like double aortic arch can improve asthma management outcomes.
  • Further research is warranted to explore the relationship between cardiovascular anomalies and pediatric asthma severity.

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