pulmicort and Foreign-Bodies

Eosinophilic oesophagitis is a diagnosis that is being made more frequently in the assessment of dysphagia in both adults and children. It is unclear whether this is a result of increased prevalence or improved diagnostic methods. Children present commonly to paediatric institutions with foreign body impaction. Research indicates that food impaction may predispose to eosinophilic oesophagitis. This article presents eosinophilic oesophagitis from an otolaryngologist's point of view. It details the clinical features present in the disease as well as how it is diagnosed and managed. It illustrates early signs of eosinophilic oesophagitis so that primary physicians and emergency physicians know when to refer on to otolaryngologists.

Topics: Administration, Topical; Anti-Inflammatory Agents; Budesonide; Child; Deglutition Disorders; Diet Therapy; Eosinophilic Esophagitis; Esophagoscopy; Esophagus; Fluticasone; Foreign Bodies; Humans; Otolaryngology

Topics: Administration, Oral; Alcoholism; Budesonide; Deglutition Disorders; Diverticulum, Esophageal; Eosinophilic Esophagitis; Esophageal Stenosis; Esophagoscopy; Esophagus; Food; Foreign Bodies; Glucocorticoids; Humans; Male; Middle Aged; Proton Pump Inhibitors; Radiography, Thoracic

Three asthmatic children are reported with shortness of breath due to stridor. The stridor was preceded by a deterioration in asthma control necessitating the introduction or increased dosage of a pressurized beclomethasone inhaler. The stridor mimicked asthmatic symptoms and was only differentiated by auscultation directly over the neck and by response to nebulized adrenaline. One child had a laryngeal foreign body which probably gained entry via a pressurized inhaler.

Topics: Administration, Inhalation; Adolescent; Asthma; Budesonide; Child; Epinephrine; Foreign Bodies; Humans; Larynx; Male; Paint; Pregnenediones; Respiratory Sounds