Asthma differential diagnosis: Difference between revisions
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===Infants & Children=== | ===Infants & Children=== | ||
=====Upper airway diseases===== | =====Upper airway diseases===== | ||
*Allergic rhinitis and sinusitis | *[[Allergic rhinitis]] and [[sinusitis]] | ||
=====Obstructions involving large airways===== | =====Obstructions involving large airways===== | ||
*Foreign body in trachea or bronchus | *[[Foreign body in respiratory tract|Foreign body in trachea or bronchus]] | ||
*Vocal cord dysfunction | *[[Vocal cord paralysis|Vocal cord dysfunction]] | ||
*Vascular rings or laryngeal webs | *[[Vascular ring|Vascular rings]] or laryngeal webs | ||
*Laryngotracheomalacia, tracheal stenosis, or bronchostenosis | *[[Laryngotracheomalacia]], tracheal stenosis, or bronchostenosis | ||
*Enlarged lymph nodes or tumor | *[[Lymphadenopathy|Enlarged lymph nodes]] or [[Lung cancer|tumor]] | ||
=====Obstructions involving small airways===== | =====Obstructions involving small airways===== | ||
*Viral bronchiolitis or obliterative bronchiolitis | *[[Bronchiolitis|Viral bronchiolitis]] or [[Bronchiolitis obliterans|obliterative bronchiolitis]] | ||
*Cystic fibrosis | *[[Cystic fibrosis]] | ||
*Bronchopulmonary dysplasia | *[[Bronchopulmonary dysplasia]] | ||
=====Other causes===== | =====Other causes===== | ||
*Congenital heart diseases | *[[Congenital heart disease|Congenital heart diseases]] | ||
*Recurrent cough not due to asthma | *Recurrent [[cough]] not due to asthma | ||
*Aspiration from swallowing mechanism | *[[Aspiration]] from swallowing mechanism | ||
* | *[[Gastroesophageal reflux]] | ||
==References== | ==References== |
Revision as of 20:26, 26 February 2016
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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1]; Philip Marcus, M.D., M.P.H. [2]
Overview
Asthma must be clinically differentiated from other pulmonary conditions with similar symptoms such as chronic obstructive pulmonary disease and pulmonary aspiration.
Differentiating Asthma from other Diseases
- Although, many cases of recurrent cough and wheezing in children and adults are due to asthma, other conditions are often misdiagnosed as asthma.
Adults
- Chronic obstructive pulmonary disease (COPD)
- Hyperventilation syndrome and panic attacks
- Congestive heart failure
- Pulmonary embolism
- Laryngeal dysfunction
- Pulmonary aspiration
- Mechanical obstruction of the airways (benign and malignant tumors)
- Pulmonary infiltration with eosinophilia
- Diffuse parenchymal lung diseases
- Cough secondary to drugs (ACE inhibitors)
- Vocal cord dysfunction
Infants & Children
Upper airway diseases
Obstructions involving large airways
- Foreign body in trachea or bronchus
- Vocal cord dysfunction
- Vascular rings or laryngeal webs
- Laryngotracheomalacia, tracheal stenosis, or bronchostenosis
- Enlarged lymph nodes or tumor
Obstructions involving small airways
Other causes
- Congenital heart diseases
- Recurrent cough not due to asthma
- Aspiration from swallowing mechanism
- Gastroesophageal reflux