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Poliomyelitis-like illness after acute asthma

S J Ilett, R J Pugh, R W Smithells

    Archives of Disease in Childhood
    |September 1, 1977
    PubMed
    Summary

    Asthma exacerbations in children may precede a polio-like illness affecting one arm. This neurological condition involves pain, weakness, and muscle wasting, though the link to asthma requires further investigation.

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    Area of Science:

    • Pediatric Neurology
    • Pulmonology
    • Clinical Case Studies

    Background:

    • Acute exacerbations of bronchial asthma are common in children.
    • Neurological complications following asthma are rarely reported.
    • Poliomyelitis-like syndromes can present with sudden onset of weakness and muscle atrophy.

    Observation:

    • Two pediatric patients experienced unilateral arm pain, weakness, and subsequent muscle wasting.
    • These neurological symptoms occurred shortly after an acute asthma attack.
    • The clinical presentation mimicked poliomyelitis, a viral illness affecting the nervous system.

    Findings:

    • A potential association between acute bronchial asthma and a poliomyelitis-like neurological illness in children is suggested.
    • The observed symptoms included pain, weakness, and muscle wasting in one arm.
    • The causal relationship between asthma exacerbation and the neurological symptoms remains undetermined.

    Implications:

    • Further research is needed to elucidate the potential link between asthma and these neurological events.
    • Clinicians should consider this association when evaluating children with unilateral limb weakness post-asthma exacerbation.
    • Understanding this connection may lead to improved diagnostic and therapeutic strategies for affected children.

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