Objective To explore the clinical features and diagnostic procedure of atypical asthma characteristic of chest pain.Methods The patients with unexplained chest pain were screened by lung function test and bronchial provocation test.The diagnosis of asthma was established by therapeutic test and exclusive procedure.The clinical manifestations were analyzed.Results In 56 cases of unexplained chest pain 20 cases were diagnosed as asthma.While all patients referred to clinic with chest pain as chief complaint，a majority of patients (11 cases，85%) showed obscure chest tightness，breath shortness and cough..Some cases reported the same trigger factors as asthma.Chest pain was relieved in all cases after regular antiasthma treatments.Conclusions Chest pain could be a specific presentation of asthma which may be misdiagnosed as other diseases.Bronchial provocation tests and antiasthma therapy should be considered to screen and diagnose this atypical asthma.
Citation：
WU Yonghong,LIU Chuntao. Atypical asthma characteristic of chest pain. Chinese Journal of Respiratory and Critical Care Medicine, 2007, 6(1): 12-14. doi:
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- 1. National institutes of health，National Heart，Lung and Blood Institute.Global strategy for asthma management and prevention.Revised，2006.http：//www.ginasthma.com/ Guidelineitem.asp.
- 2. 中华医学会呼吸病学会哮喘学组.支气管哮喘防治指南（支气管哮喘的定义、诊断、治疗及教育和管理方案）.中华内科杂志，2003，42：817-822.
- 3. 林耀广，主编.现代哮喘病学.北京：中国协和医科大学出版社，2004.315-316.
- 4. Nudel DB，Diamant S，Brady T，et al.Chest pain，dyspnea on exertion，and exercise induced asthma in children and adolescents.Clin Pediatr (Phila)，1987，26：388-392.
- 5. Massin MM，Bourguignont A，Coremans C，et al.Chest pain in pediatric patients presenting to an emergency department or to a cardiac clinic.Clin Pediatr (Phila)，2004，43：231-238.
- 6. Evangelista JA，Parsons M，Renneburg AK，et al.Chest pain in children：diagnosis through history and physical examination.J Pediatr Health Care，2000，14：3-8.
- 7. 陈萍，主编.呼吸系统鉴别诊断学.北京：军事医学科学出版社，2005.10-13.
- 8. 苏楠，林江涛．支气管哮喘与胃食管反流．中国呼吸与危重监护杂志，2004，3：7-9．.
