An 11-Year-Old Male Patient with Refractory Asthma and Heartburn
| Autor: | Mark Anselmo, Tareq Al-Abdoulsalam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Myotomy Spirometry medicine.medical_specialty Pediatrics Article Subject medicine.medical_treatment Achalasia Case Report Diagnosis Differential Diseases of the respiratory system Esophagus Heartburn Wheeze medicine otorhinolaryngologic diseases Humans Child Asthma medicine.diagnostic_test RC705-779 business.industry medicine.disease Dysphagia Respiratory Function Tests Surgery Esophageal Achalasia medicine.symptom Tomography X-Ray Computed Chest radiograph business |
| Zdroj: | Canadian Respiratory Journal, Vol 18, Iss 2, Pp 81-83 (2011) |
| ISSN: | 1198-2241 |
| DOI: | 10.1155/2011/895701 |
| Popis: | Achalasia is characterized by obstruction of the distal esophagus and subsequent dilation of the proximal esophagus, and is considered to be a rare disorder in children. Patients commonly present with gastrointestinal (GI) symptoms such as dysphagia; however, pulmonary symptoms may also occur. Rare pulmonary symptoms due to achalasia are dyspnea and wheeze due to tracheal compression. The authors describe an 11-year-old boy who was referred to a pediatric respiratory clinic for asthma that was not responsive to inhaled medications. The child presented with a one-year history of dyspnea on exertion, cough and wheeze. He also complained of chronic dyspepsia. The presence of GI symptoms, in addition to abnormalities on chest radiograph and spirometry, suggested the presence of achalasia. The diagnosis was confirmed and the patient subsequently underwent surgical myotomy that relieved his GI and pulmonary symptoms, and normalized spirometry. The present article is an illustrative case report to remind pediatricians to consider other diagnoses when a patient does not respond to asthma medications. |
| Databáze: | OpenAIRE |
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