Spurious Asthma Presentation during COVID-19

Israel Amirav1, Moran Lavie1

  • 1Pediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel.

Insights

Face masks can cause hyperventilation in children, mimicking asthma symptoms. Pediatricians should consider mask-induced anxiety and hyperventilation when evaluating respiratory complaints.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Psychology

Background:

  • Face masks are widely used globally to prevent SARS-CoV-2 transmission.
  • Children with respiratory complaints were evaluated after ineffective asthma treatments.
  • Mask use has become a common practice in daily life.

Observation:

  • Three children presented with respiratory symptoms while wearing face masks.
  • Initial diagnosis of asthma was made, but treatments proved ineffective.
  • Detailed evaluation, including video analysis, was performed for the first patient.

Findings:

  • The detailed evaluation confirmed hyperventilation as the diagnosis.
  • Symptoms mimicked common respiratory disorders like asthma.
  • Mask-wearing was associated with the onset of these symptoms.

Implications:

  • Pediatricians must be aware of mask-induced anxiety and hyperventilation.
  • Recognizing these symptoms is crucial in the current era of widespread mask use.
  • This awareness can prevent misdiagnosis of respiratory conditions such as asthma.

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