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Related Experiment Videos

Stridor in childhood asthma.

J Storr1, R Tranter, W Lenney

  • 1Royal Alexandra Hospital for Sick Children, Brighton, East Sussex.

British Journal of Diseases of the Chest
|April 1, 1988
PubMed
Summary

Stridor, a whistling sound during breathing, can mimic asthma symptoms in children. Prompt diagnosis and treatment are crucial, especially when a laryngeal foreign body is suspected.

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Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Asthma exacerbations in children often present with respiratory distress.
  • Inhaled corticosteroids are a cornerstone of asthma management.
  • Differentiating stridor from asthma symptoms can be challenging.

Observation:

  • Three asthmatic children presented with shortness of breath mimicking asthma.
  • Symptoms followed increased use or dosage of pressurized beclomethasone inhalers.
  • Direct neck auscultation and response to nebulized adrenaline aided diagnosis.

Findings:

  • One child had a laryngeal foreign body, potentially introduced via a pressurized inhaler.
  • Stridor symptoms were distinct from typical asthma wheezing.
  • Nebulized adrenaline provided temporary relief, suggesting upper airway obstruction.

Implications:

  • Clinicians should consider laryngeal foreign bodies in asthmatic children with new-onset stridor.
  • Careful auscultation and response to specific treatments are key diagnostic tools.
  • The route of foreign body entry may be linked to inhaler devices.

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