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Variant forms of asthma
1Reynolds Army Community Hospital, Fort Sill, Oklahoma.
American Family Physician
|June 1, 1987
Insights
Prompt diagnosis of childhood asthma is crucial. Chest pain or chronic cough can be the only symptoms, as wheezing is not always present in this common respiratory condition.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Clinical Diagnosis
Background:
- Asthma is a significant cause of childhood morbidity.
- Early diagnosis and treatment are essential for managing pediatric asthma.
- Asthma presents with diverse clinical manifestations.
Observation:
- Chest pain variant asthma is a specific type of cough variant asthma.
- Wheezing, a common asthma symptom, may be absent.
- Chronic cough or chest pain can be the sole presenting complaints.
Findings:
- A high index of suspicion is necessary for diagnosing asthma.
- Recognizing non-wheezing presentations is key.
- Chest pain variant asthma requires careful diagnostic consideration.
Implications:
- Clinicians should consider asthma in children with unexplained chronic cough or chest pain.
- Broadening the diagnostic criteria for asthma improves early detection.
- Timely diagnosis of atypical asthma presentations can prevent long-term complications.
Abstract:
Asthma is an important cause of morbidity in children, and prompt diagnosis and treatment are essential. Asthma has a wide variety of clinical manifestations. Chest pain variant asthma is an important subset of cough variant asthma. A high index of suspicion is required to make the diagnosis. Wheezing is not always present in asthma. Another manifestation, such as chronic cough or chest pain, may be the sole presenting complaint.