Abstract
Vomiting, as an unusual manifestation of asthma, is not always considered within the symptoms of asthmatic patients. There are few case reports that vomiting might be a predominant symptom, however no report that vomiting is a sole manifestation of asthma.Ten years old boy admitted with acute dystonic reaction. At the history, metoclopramide was prescribed to him because of repeated vomiting. Persistent vomiting has continued for three years. His history, physical and laboratory evaluation along with the response to bronchodilator eventually ascertained the diagnose of asthma.Vomiting in children, as a prominent manifestation of asthma, should be considered in the differential diagnose of asthma. Metoclopramide medication should be restricted to selected indications which etiology is certainly known, especially in children
References
- )Guilbert TW, Lemanske RF, Jackson DJ. Asthma in infancy and childhood. In: Adkinson NF, Bochner BS, Burks W, Busse WW, Holgate ST, Lemanske RF, O’Hehir Robyn. Eds. Middle- ton’s Allergy Principles and Practice, eighth ed. Philadephia: Saunders. 2014: 861-75.
- )Schreier L, Cutler RM, Saigal V. Vomiting as a dominant symptom of asthma. Ann Allergy. 1987; 58: 118-20.
- )Osundwa VM, Dawod ST. Vomiting as the main presenting symptom of acute asthma. Acta Paediatr Scand. 1989; 78: 968-70.
- )Egerton-Warburton D, Meek R, Mee MJ, Braitberg G. An- tiemetic use for nausea and vomiting in adult emergency de- partment patients: randomized controlled trial comparing ondansetron, metoclopramide, and placebo. Ann Emerg Med. ; 64: 526-32. )Metoclopramide, data sheet: Available at:http://www.med- safe.govt.nz/profs/datasheet/m/Metoclopramidepfizerinj.pdf. Accessed March 23, 2014.
- )Yis U, Ozdemir D, Duman M, Unal N. Metoclopramide in- duced dystonia in children: two case reports. Eur J Emerg Med. ; 12: 117-9. )Caffarellia C, Deriu FM, Terzi V, Perrone F, De Angelis G, Atherton DJ. Gastrointestinal symptoms in patients with asth- ma. Arch Dis Child. 2000; 82: 131-5.
- )Turbyville J, Gada S, Payne K, Laubach S, Callahan CW, Nel- son M. Posttussive emesis as a symptom of asthma in children. Ann Allergy Asthma Immunol. 2011; 106: 140-5.
Abstract
Astımın ender bir semptomu olarak kusma, genelde astımlı hastalarda görülen semptomlar arasında sayılmamaktadır. Kusmanın ağırlıklı semptom olarak bildirildiği birkaç olgu sunumu bulunmasına rağmen, astımın tek belirtisi olarak kusma bildirilmemiştir. On yaşında erkek çocuk akut distonik reaksiyon ile başvurdu. Öyküde, tekrar eden kusmaları nedeniyle kendisine metoklopramid reçetelenmişti. İnatçı kusmaları üç yıldır devam etmekteydi. Öyküsü, fizik ve laboratuvar bulguları ve bronkodilatörlere verdiği cevap değerlendirilerek sonunda astım tanısı doğrulandı. Çocuklarda kusma astımın önde gelen semptomu olabileceği için astım ayırıcı tanısında düşünülmelidir. Metoklopramid kullanımı özellikle çocuklarda, etyolojinin kesinlikle bilindiği seçilmiş endikasyonlarla ve sınırlandırılmalıdır
References
- )Guilbert TW, Lemanske RF, Jackson DJ. Asthma in infancy and childhood. In: Adkinson NF, Bochner BS, Burks W, Busse WW, Holgate ST, Lemanske RF, O’Hehir Robyn. Eds. Middle- ton’s Allergy Principles and Practice, eighth ed. Philadephia: Saunders. 2014: 861-75.
- )Schreier L, Cutler RM, Saigal V. Vomiting as a dominant symptom of asthma. Ann Allergy. 1987; 58: 118-20.
- )Osundwa VM, Dawod ST. Vomiting as the main presenting symptom of acute asthma. Acta Paediatr Scand. 1989; 78: 968-70.
- )Egerton-Warburton D, Meek R, Mee MJ, Braitberg G. An- tiemetic use for nausea and vomiting in adult emergency de- partment patients: randomized controlled trial comparing ondansetron, metoclopramide, and placebo. Ann Emerg Med. ; 64: 526-32. )Metoclopramide, data sheet: Available at:http://www.med- safe.govt.nz/profs/datasheet/m/Metoclopramidepfizerinj.pdf. Accessed March 23, 2014.
- )Yis U, Ozdemir D, Duman M, Unal N. Metoclopramide in- duced dystonia in children: two case reports. Eur J Emerg Med. ; 12: 117-9. )Caffarellia C, Deriu FM, Terzi V, Perrone F, De Angelis G, Atherton DJ. Gastrointestinal symptoms in patients with asth- ma. Arch Dis Child. 2000; 82: 131-5.
- )Turbyville J, Gada S, Payne K, Laubach S, Callahan CW, Nel- son M. Posttussive emesis as a symptom of asthma in children. Ann Allergy Asthma Immunol. 2011; 106: 140-5.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research Article |
| Authors | |
| Publication Date | March 1, 2016 |
| Published in Issue | Year 2016 Volume: 49 Issue: 1 |