Exercise-induced inspiratory symptoms in school children

摘要: Summary Background and aims: Exercise-induced inspiratory symptoms (EIIS) have multiple causes, one of which is exercise-induced laryngeal obstruction (EILO). There limited knowledge regarding EIIS in children, both primary care practices pediatric asthma clinics. The aim this study was to describe the feasibility a diagnostic methodology its results cohort children with referred our tertiary pulmonary center. Methods: This analyzed consecutively collected data from East Denmark Greater Copenhagen during 3½ years period. continuous laryngoscopy exercise (CLE) test directly visualizes larynx using flexible laryngoscope maximal test. A post-test questionnaire evaluated subjective impact examination. Results: included 60 (37 girls/23 boys) mean age 14 (range 9–18). CLE 98%; 18 (35%) had EILO, while 33 (61%) showed no abnormalities. Other abnormalities were observed three before Asthma medication successfully discontinued 13 (72%) EILO. significantly greater proportion shown EILO reported coping better their than negative (85% vs. 45%; P = 0.03). Conclusions: Continuous feasible useful for identifying correct diagnosis can help relieve patient anxiety, improve symptoms, prevent unnecessary long-term potentially harmful treatments involving high-dose inhaled steroids. Pediatr Pulmonol. 2016;51:1200–1205. © 2016 Wiley Periodicals, Inc.