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Hospital admission for acute painful episode following methacholine challenge in an adolescent with sickle cell disease. Pediatr Pulmonol 2009 Jul;44(7):728-30

Date

06/09/2009

Pubmed ID

19504562

Pubmed Central ID

PMC3729266

DOI

10.1002/ppul.21049

Scopus ID

2-s2.0-67650138477 (requires institutional sign-in at Scopus site)   9 Citations

Abstract

Asthma is associated with increases in sickle cell disease (SCD)-related morbidity and mortality. A thorough evaluation for asthma in children with SCD is important and may involve methacholine challenge (MCh). In this report, we present a 14-year-old male with SCD who was admitted for an acute painful episode following MCh. Pain events after MCh have not been previously reported in children with SCD. The risk-benefit ratio should be strongly considered prior to performance of MCh in this patient population, and all possible complications, including an acute painful episode, should be openly discussed with the parents and pediatric patient.

Author List

Knight-Perry JE, Field JJ, Debaun MR, Stocks J, Kirkby J, Strunk RC

Author

Joshua J. Field MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anemia, Sickle Cell
Asthma
Bronchial Provocation Tests
Bronchoconstrictor Agents
Chest Pain
Humans
Male
Methacholine Chloride