A Patient with Achalasia Misdiagnosed as Asthma Until Age 17.
10.3904/kjm.2013.85.3.308
- Author:
Hye Jin KIM
1
;
Myung Shin KIM
;
Gune Il LIM
;
Youn Sun PARK
;
Han Hyeok IM
;
Hun Gyu HWANG
Author Information
1. Division of Pulmonology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Gumi Hospital, Gumi, Korea. hwangpark@hanmail.net
- Publication Type:Case Report
- Keywords:
Esophageal achalasia;
Asthma
- MeSH:
Adolescent;
Asthma;
Chest Pain;
Child;
Cough;
Deglutition Disorders;
Dilatation;
Esophageal Achalasia;
Esophageal Motility Disorders;
Esophagus;
Fever;
Humans;
Pneumonia;
Sputum;
Steroids;
Vomiting;
Weight Loss
- From:Korean Journal of Medicine
2013;85(3):308-312
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Achalasia is a primary esophageal motility disorder characterized by functional obstruction of the distal esophagus and subsequent dilation of the proximal esophagus. The most common symptoms in children and adolescents are vomiting, progressive dysphagia, weight loss, recurrent pneumonia, nocturnal cough, and chest pain. A girl who had been diagnosed with asthma poorly responsive to inhaled steroids until age 17, presented at the hospital with cough, sputum, and fever. Finally, she was diagnosed with achalasia and underwent esophageal balloon dilatation, which relieved her GI and pulmonary symptoms. We report this case with a literature review.