Use of post‐exercise laryngoscopy to evaluate exercise induced dyspnea

We present the case of a child with asthma who continued to have marked exercise induced dyspnea despite appropriate treatment, and in the face of adequate control of all other asthma symptoms. Spirometry showed a marked truncation of inspiratory flow, and laryngoscopy performed immediately after ex...

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Bibliographic Details
Published in:Pediatric pulmonology 2010-10, Vol.45 (10), p.1037-1039
Main Authors: McNally, P., Greally, P.
Format: Article
Language:English
Subjects:
asthma
Asthma, Exercise-Induced - complications
Asthma, Exercise-Induced - diagnosis
Biological and medical sciences
Child
Chronic obstructive pulmonary disease, asthma
Dyspnea - etiology
Exercise
flexible laryngoscopy
General aspects
Humans
laryngomalacia
Laryngomalacia - diagnosis
Laryngomalacia - etiology
Laryngoscopy
Male
Medical sciences
Otorhinolaryngology. Stomatology
Pneumology
Respiratory system : syndromes and miscellaneous diseases
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:We present the case of a child with asthma who continued to have marked exercise induced dyspnea despite appropriate treatment, and in the face of adequate control of all other asthma symptoms. Spirometry showed a marked truncation of inspiratory flow, and laryngoscopy performed immediately after exercise showed laryngomalacia with dynamic, partial inspiratory obstruction. Exercise induced laryngomalacia (EIL) is a rare cause of exercise induced dyspnea which is diagnosed by post exercise flexible laryngoscopy and may require supraglottoplasty. Pediatr Pulmonol. 2010; 45:1037–1039. © 2010 Wiley‐Liss, Inc.
ISSN:8755-6863
1099-0496
DOI:10.1002/ppul.21280