Functional Respiratory Disorders in Children

Manju Hurvitz1, Miles Weinberger1

  • 1Division of Pediatric Respiratory Medicine, Rady Children's Hospital, 3020 Children's Way, MC 5070, San Diego, CA 92123-4282, USA.

Insights

Functional respiratory disorders (FRDs) in children present with respiratory symptoms but no organic cause. Early identification and treatment of FRDs like habit cough can prevent unnecessary medical interventions.

Area of Science:

  • Pediatric Pulmonology
  • Functional Respiratory Disorders
  • Child Health

Background:

  • Functional respiratory disorders (FRDs) are common in children, presenting with respiratory symptoms but lacking an identifiable organic or anatomical cause.
  • These conditions include habit cough syndrome, vocal cord dysfunction, hyperventilation disorders, functional dyspnea, and sighing syndrome.
  • Misdiagnosis or delayed diagnosis of FRDs can lead to extensive, unnecessary investigations and treatments.

Purpose of the Study:

  • To review the clinical presentation, manifestations, and treatment of pediatric FRDs.
  • To provide guidance for healthcare providers on identifying and managing these reversible conditions effectively.
  • To reduce unnecessary medical interventions in children with FRDs.

Main Methods:

  • Review of clinical literature on pediatric functional respiratory disorders.
  • Synthesis of information on diagnostic criteria and clinical manifestations.
  • Outline of evidence-based treatment strategies.

Main Results:

  • FRDs encompass a range of conditions including habit cough, vocal cord dysfunction, and functional dyspnea.
  • Recognition of FRDs requires careful clinical assessment to exclude organic pathology.
  • Treatment focuses on reassurance, education, and behavioral interventions.

Conclusions:

  • Accurate identification of pediatric FRDs is crucial to avoid unnecessary testing and medication.
  • Healthcare providers can effectively manage these reversible conditions with appropriate diagnostic and therapeutic approaches.
  • Timely intervention improves patient outcomes and reduces healthcare resource utilization.

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