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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.
Abstract:
Functional respiratory disorders (FRDs) are those characterized by respiratory symptoms without anatomic or organic etiology. Clinicians caring for children encounter these disorders and should be familiar with diagnosis and treatment. FRDs encompass the habit cough syndrome and its variants, vocal cord dysfunction, hyperventilation disorders, functional dyspnea, and sighing syndrome. Failure to identify these disorders results in unnecessary testing and medication. This article reviews the clinical presentation, manifestation, and treatment of respiratory FRDs in children. How health care providers can successfully identify and treat these reversible conditions in the clinical setting is discussed.
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