Wheezy swallow: poorly responsive 'asthma'.

J Paediatr Child Health

Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Published: January 2008

AI Article Synopsis

  • Two children were misdiagnosed with asthma despite presenting with cough and wheeze.
  • Their symptoms were actually caused by achalasia, a condition where the esophagus has difficulty moving food to the stomach.
  • The cases emphasize the need for careful diagnosis and testing, such as chest X-rays and pulmonary function tests, when asthma treatment isn't effective.

Article Abstract

We report two children who presented with cough and wheeze, were initially misdiagnosed with asthma and were subsequently demonstrated to have achalasia as the underlying cause of their symptoms. These cases highlight the importance of considering diagnoses other than asthma when there is a suboptimal response to asthma medications, as well as the value of investigations including chest X-ray and pulmonary function tests in establishing the underlying cause.

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Source
http://dx.doi.org/10.1111/j.1440-1754.2007.01258.xDOI Listing

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