Achalasia: unusual cause of chronic cough in children

Springer Science and Business Media LLC - Tập 4 Số 1 - 2008
Naima Mehdi1, Miles Weinberger2, Mutasim Abu-Hasan2
1Pediatrics Pulmonary Section, University of Oklahoma, 940 NE 13th Street, Room 3B 3314, Oklahoma City, OK, 73104, USA
2Pediatric Allergy and Pulmonary Division, 2544 JCP, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA

Tóm tắt

Abstract Achalasia is a rare motility disorder of the esophagus which results from lack of enervation of the lower esophageal sphincter muscles and leads to dilatation of proximal esophagus. Patients with achalasia presents typically with dysphagia, vomiting of undigested food and failure to thrive. Cough can be present in achalasia patients due to aspiration of food or due to airway compression by the dilated esophagus. We report two cases of achalasia presenting primarily with prolonged cough. Diagnosis of achalasia in both cases was delayed due to this atypical presentation. This highlights the importance of recognizing achalasia as a potential cause of chronic cough in order to avoid delayed diagnosis and mismanagement.

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