Abstract：
:This manuscript describes two interesting patients who had exercise-induced symptoms that unmasked an alternative underlying diagnosis. The first is an 8-year-old boy who was treated for asthma all his life but really had exercise-induced stridor (labelled as wheeze) causing significant exercise limitation, which was due to a double aortic arch with the right arch compressing the trachea. The second case describes the diagnosis of vocal cord dysfunction in a 13-year-old anxious high achiever. He also initially had exercise-induced symptoms treated as exercise-induced wheeze but again had a stridor due to vocal cord dysfunction. Both these cases demonstrate the importance of detailed history including during exercise, which can unmask alternative diagnosis. Another important message is that if there is no response to bronchodilator treatment with absence of typical signs and symptoms of asthma, alternative diagnosis should be considered.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Pandit CA,Batterby E,Van Asperen P,Cooper P,Selvadurai H,Fitzgerald DAdoi
10.1111/j.1440-1754.2011.02209.xsubject
Has Abstractpub_date
2014-10-01 00:00:00pages
829-32issue
10eissn
1034-4810issn
1440-1754journal_volume
50pub_type
杂志文章abstract：:The outcome of 38 children with endstage renal failure who entered a dialysis and renal transplant programme over a period of 16 years is reported. The initial care was given in an adult programme but in 1985 this was changed to a comprehensive and specifically paediatric programme. Patient survival was 97, 86 and 80%...
journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1990.tb01071.x
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abstract：AIM:We wanted to investigate serum levels of ghrelin and leptin - appetite-regulating hormones - and their correlation with the nutritional status of children with neurogenic bladder (NB) due to myelomeningocele (MMC) in comparison to healthy individuals. METHODS:This prospective analysis was conducted on 67 children ...
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abstract：AIM:The aim of this study was to calculate the sensitivity and specificity of the General Movements Assessment (GMA) for estimating diagnostic accuracy in detecting cerebral palsy (CP) in an Australian context by a newly established NSW rater network. METHODS:A prospective longitudinal cross-sectional study was conduc...
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abstract：:Positive pressure ventilation (PPV) is a frequent intervention in the neonatal intensive care unit. This article is directed towards paediatricians in training and attempts to cover the basics of PPV without being too technical. To do so we have employed an extensive use of graphics to illustrate the underlying princi...
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doi：10.1111/j.1440-1754.1995.tb00848.x
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.2008.01446.x
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更新日期：2013-09-01 00:00:00
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更新日期：2016-04-01 00:00:00
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doi：10.1111/j.1440-1754.1997.tb01019.x
更新日期：1997-04-01 00:00:00
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pub_type： 杂志文章
doi：10.1046/j.1440-1754.2002.00010.x
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doi：10.1111/jpc.14281
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2010.01798.x
更新日期：2010-10-01 00:00:00
abstract：:The birthweight and gestational age specific mortality of singleton Aboriginal and White infants born in Western Australia during the period 1980-86 is described. The analyses are based on the approximately 8000 Aboriginal and 143,000 White births notified through the Western Australia Midwives' system, which were lin...
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pub_type： 杂志文章
doi：10.1111/j.1440-1754.1993.tb00439.x
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1993.tb00530.x
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pub_type： 杂志文章
doi：10.1046/j.1440-1754.2002.00040.x
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1992.tb02730.x
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abstract：AIM:Hepatitis A and E are enteric viral diseases that are characteristically found in developing countries. Sero-epidemiological data about both infections showed higher prevalence rates soon after the 1999 earthquakes in Duzce, Turkey. The aim of the present study was to evaluate the data 4 years after the earthquakes...
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更新日期：2005-01-01 00:00:00
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abstract：:Two cases of McCune-Albright syndrome (MAS) are reported who presented in the neonatal period with profound failure to thrive, cardio-respiratory distress, precocious puberty and Cushing's syndrome for which both underwent bilateral adrenalectomy. Both girls had also bilateral nephrocalcinosis; in one case that may ha...
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