Misdiagnosis Analysis of 70 Cases of Children with Cough Variant Asthma
YANG Mei
XIE Xue-Mei
XU Hong-tao
Abstract：Objective To investigate the clinical characteristics, misdiagnosis and preventive measures of children with cough variant asthma. Methods 70 children with cough variant asthma admitted to our hospital during January 2013 and January 2014 were chosen. The clinical data were retrospectively analyzed. Results 49 cases of this group were found to have irritating cough or dry cough, 40 cases of early in the morning and ( or) nighttime cough, 19 cases of cough with a small amount of mucus, 14 cases of dyspnea. 29 (41. 4%) cases were misdiagnosed as bronchitis, 14(20. 0%) cases as acute up-per respiratory tract infection, 10 (14. 3%) cases as tonsillitis, 7(10. 0%) cases as chronic pharyngitis, 3(4. 3%) cases as whooping cough, 3 ( 4. 3%) cases as mycoplasma pneumoniae, 2 ( 2. 9%) cases as hilar lymph node tuberculosis, 2 (2. 9%)cases as bronchial foreign bodies. Misdiagnosed time was 29 d-1 year. 70 cases of misdiagnosis showed no significant treatment effect. After admition a comprehensive analysis of history, clinical manifestations and medical tests were performed. CVA was confirmed after diagnostic criteria were met. After treatment for 3-28 d, symptoms disappeared. Conclusion CVA has some occult clinical manifestations, and is prone to misdiagnosis. Awareness of CVA, detailed medical history inquiry, a comprehensive analysis of the disease, timely medical and technological examinations can reduce or avoid misdiagnosis.
Keywords：AsthmaCoughDiagnostic errorBronchitisRespiratory tract infection
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 37-39 )