A 10-Year-Old Girl with Dyspnea on Exertion

March 26, 2008

Previous Volume 358:1382-1390 March 27, 2008 Number 13

Kenan E. Haver, M.D., J. Hartnick, M.D., P. ,

M.D., Randheer Shailam, M.D., and Eugene J. Mark, M.D.

Since this article has no abstract, we have provided an extract of

the first 100 words of the full text and any section headings.

Don't ya just hate it when you don't have priv's to the full article?

this was taken from The New England Journal of Med e-mail sent to me.

I sure hope they checked this girls CLASS ROOM for MOLD, but are they

that bright? Lets hope so...and if anyone has priv's to NEJoM..can

you post the rest of the article? Article Below

.....and Oh how I remember that distinct chest pain!!!

Presentation of Case

A 10-year-old girl was seen in the multidisciplinary Airway, Voice,

and Swallowing Center for Children at the Massachusetts Eye and Ear

Infirmary, associated with this hospital, because of dyspnea and

noisy respirations.

Approximately 3 weeks earlier, a sharp pain in her chest had

developed, associated with shortness of breath, while she was walking

home from school, a distance of a quarter to a half mile. Thereafter,

she had dyspnea with exertion. Her respirations became audible on

both inspiration and expiration during exercise but were normal at

rest and during sleep.

Two weeks before this evaluation, her pediatrician found that her

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