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Published on: November 4, 2010
Spurious Asthma Presentation during COVID-19
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.
Abstract:
The use of face masks as a means for preventing the spread of SARS-CoV-2 is now a common practice world-wide. Three children presented to our specialty clinic with respiratory complaints during protective face mask wearing. They were diagnosed as asthma and referred to our specialist clinic for further evaluation after asthma treatments were ineffective. Full details and a video clip demonstrating the effects of wearing the mask is presented for the first patient. The detailed evaluation confirmed the diagnosis of hyperventilation. Conclusions: In the current era of the daily use of masks, pediatricians should be aware of potential anxiety and hyperventilation while the mask is being worn, causing symptoms that mimic common respiratory disorders, such as asthma.
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