• Use of post-exercise laryngoscopy to evaluate exercise induced dyspnea.

      McNally, P; Greally, P; Department of Paediatric Respiratory Medicine, National Children's Hospital, Tallaght, Dublin, Ireland. paul.mcnally@olchc.ie (Pediatric pulmonology, 2010-10)
      We present the case of a child with asthma who continued to have marked exercise induced dyspnea despite appropriate treatment, and in the face of adequate control of all other asthma symptoms. Spirometry showed a marked truncation of inspiratory flow, and laryngoscopy performed immediately after exercise showed laryngomalacia with dynamic, partial inspiratory obstruction. Exercise induced laryngomalacia (EIL) is a rare cause of exercise induced dyspnea which is diagnosed by post exercise flexible laryngoscopy and may require supraglottoplasty.