Kwok Samson C, O'Loughlin Edward V, Kakakios Alyson M, van Asperen Peter P
Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
J Paediatr Child Health. 2008 Jan;44(1-2):74-7. doi: 10.1111/j.1440-1754.2007.01258.x.
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.
我们报告了两名出现咳嗽和喘息症状的儿童，他们最初被误诊为哮喘，后来被证明贲门失弛缓症是其症状的根本原因。这些病例凸显了在对哮喘药物治疗反应不佳时考虑哮喘以外诊断的重要性，以及包括胸部X光和肺功能测试在内的检查在确定根本原因方面的价值。
