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An 80-Year-Old Man With Intractable Cough.
Chest
December 2024
Department of Pulmonary, Critical Care, and Sleep Medicine, ESIC-PGIMSR, New Delhi, India.
An 80-year-old man with no history of substance addiction presented with complaints of cough and breathlessness for 4 months. His cough was nonproductive, waxing and waning in nature with high symptom load during daytime, but not associated with chest pain or wheezing. He gives no history of nasal or sinus symptoms, aspiration, or reflux symptoms.
View Article and Find Full Text PDFPreschool wheeze and asthma endotypes- implications for future therapy.
Expert Rev Respir Med
December 2024
National Heart and Lung Institute, Imperial College London, London, UK.
Introduction: Preschool wheeze and school-aged asthma present a large healthcare burden. Both conditions are now recognized to be heterogeneous, with similar symptom presentation but likely different underlying lung pathology.
Areas Covered: Current treatment options for preschool wheeze are constrained by extrapolations from the management of school-aged children with asthma.
[Evolution of diagnostic criteria for allergic bronchopulmonary aspergillosis].
Zhonghua Jie He He Hu Xi Za Zhi
December 2024
Department of Respiratory and Critical Care, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha410008, China.
Article Synopsis
- - Allergic bronchopulmonary aspergillosis (ABPA) is a lung condition that leads to symptoms like wheezing and lung damage, but it often gets misdiagnosed due to its complex symptoms and lack of clear diagnostic guidelines.
- - Diagnostic criteria for ABPA have evolved over time, starting with the Rosenberg criteria in 1977, followed by improvements from ISHAM in 2013 and 2024, and new criteria for allergic bronchopulmonary mycosis (ABPM) introduced by Asano in 2021, which were found to be more sensitive.
- - Understanding and applying these updated diagnostic guidelines is important for better diagnosing and treating ABPA and ABPM, as misdiagnosis can lead
Challenges and strategies: treating spontaneous pneumothorax in massive pulmonary langerhans cell histiocytosis in children.
Rev Paul Pediatr
December 2024
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Objective: The objective of this study was to report two cases of successive multiple spontaneous bilateral pneumothorax in children with massive lung involvement due to Langerhans cell histiocytosis (LCH), emphasizing the possibility of this differential diagnosis for the general pediatrician. Additionally, published cases describing pediatric patients with pulmonary manifestations of LCH were reviewed in the literature.
Case Description: Case #1: A 3-year-old male patient with a sudden episode of spontaneous right-sided pneumothorax, surgically drained.
Tracheal stenosis misdiagnosed as asthma: a case report.
J Med Case Rep
November 2024
Department of Pediatric and Child Health, Aga Khan University Hospital, Karachi, Pakistan.
Article Synopsis
- Tracheal stenosis, a complication from intubation, often gets misdiagnosed as asthma due to similar symptoms like wheezing and respiratory issues.
- A 10-year-old boy initially diagnosed with severe asthma had difficulty breathing and was unresponsive to treatment, leading to an emergency tracheostomy where tracheal stenosis was discovered.
- The case emphasizes the need for medical professionals to consider tracheal stenosis in children with respiratory symptoms, especially if there’s a history of intubation, and highlights the importance of securing the airway promptly.
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