Letter

Unresponsive asthma

Don’t forget mediastinal masses

BMJ 2008; 336 doi: 10.1136/bmj.39507.500336.80 (Published 6 March 2008)
Cite this as: BMJ 2008;336:521.3

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  1. Matthew J Murray, consultant paediatric haemato-oncologist,
  2. James C Nicholson, consultant paediatric oncologist,
  3. Donna McShane, consultant respiratory paediatrician
  1. 1Department of Paediatrics, Addenbrooke’s Hospital, Cambridge CB2 0QQ
  1. mjm16{at}cam.ac.uk

    O’Carroll et al highlight some of the important issues in childhood asthma unresponsive to simple treatment in primary care.1 However, they omit malignancy from their differential diagnoses, missing an essential learning point—that chest radiography is advised in children failing to respond to simple standard asthma treatment and certainly before starting oral steroids. …

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