Asthma differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Asthma must be clinically differentiated from other | Asthma must be clinically differentiated from other conditions that cause recurrent cough and wheezing such as [[Bronchiolitis|viral bronchiolitis]], [[chronic obstructive pulmonary disease]], [[congestive heart failure]], [[Vocal cord paralysis|vocal cord dysfunction]], and [[allergic rhinitis]]. | ||
==Differentiating Asthma from other Diseases== | ==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. | * Although, many cases of recurrent cough and wheezing in children and adults are due to asthma, other conditions are often misdiagnosed as asthma.<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
===Adults=== | ===Adults=== | ||
*[[Chronic obstructive pulmonary disease]] (COPD) | *[[Chronic obstructive pulmonary disease]] (COPD) | ||
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*Diffuse parenchymal lung diseases | *Diffuse parenchymal lung diseases | ||
*Cough secondary to drugs ([[ACE inhibitor|ACE inhibitors]]) | *Cough secondary to drugs ([[ACE inhibitor|ACE inhibitors]]) | ||
*[[Vocal cord paralysis|Vocal cord dysfunction]] | *[[Vocal cord paralysis|Vocal cord dysfunction]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
===Infants & Children=== | ===Infants & Children=== | ||
=====Upper airway diseases===== | =====Upper airway diseases===== | ||
*[[Allergic rhinitis]] and [[sinusitis]] | *[[Allergic rhinitis]] and [[sinusitis]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
=====Obstructions involving large airways===== | =====Obstructions involving large airways===== | ||
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*[[Vascular ring|Vascular rings]] or laryngeal webs | *[[Vascular ring|Vascular rings]] or laryngeal webs | ||
*[[Laryngotracheomalacia]], tracheal stenosis, or bronchostenosis | *[[Laryngotracheomalacia]], tracheal stenosis, or bronchostenosis | ||
*[[Lymphadenopathy|Enlarged lymph nodes]] or [[Lung cancer|tumor]] | *[[Lymphadenopathy|Enlarged lymph nodes]] or [[Lung cancer|tumor]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
=====Obstructions involving small airways===== | =====Obstructions involving small airways===== | ||
*[[Bronchiolitis|Viral bronchiolitis]] or [[Bronchiolitis obliterans|obliterative bronchiolitis]] | *[[Bronchiolitis|Viral bronchiolitis]] or [[Bronchiolitis obliterans|obliterative bronchiolitis]] | ||
*[[Cystic fibrosis]] | *[[Cystic fibrosis]] | ||
*[[Bronchopulmonary dysplasia]] | *[[Bronchopulmonary dysplasia]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
=====Other causes===== | =====Other causes===== | ||
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*Recurrent [[cough]] not due to asthma | *Recurrent [[cough]] not due to asthma | ||
*[[Aspiration]] from swallowing mechanism | *[[Aspiration]] from swallowing mechanism | ||
*[[Gastroesophageal reflux]] | *[[Gastroesophageal reflux]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | ||
==References== | ==References== | ||
Revision as of 20:32, 26 February 2016
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Asthma differential diagnosis On the Web |
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Risk calculators and risk factors for Asthma differential diagnosis |
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 conditions that cause recurrent cough and wheezing such as viral bronchiolitis, chronic obstructive pulmonary disease, congestive heart failure, vocal cord dysfunction, and allergic rhinitis.
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.[1]
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[1]
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[1]
Obstructions involving small airways
Other causes
- Congenital heart diseases
- Recurrent cough not due to asthma
- Aspiration from swallowing mechanism
- Gastroesophageal reflux[1]