Evidence map›Paper›PMID 42643834›Full record

ArticleRespirology case reports2026

Recurrent Spasmodic Croup-Like Episodes With Cough-Predominant Symptoms in an Atopic School-Aged Child: The Importance of Integrated Upper- and Lower-Airway Management.

Rina Sakaguchi, Shizuka Mitsubuchi, Yusuke Miyashita, Toshihiko Nonaka, Kimitoshi Nakamura

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rina SakaguchiDepartment of Pediatrics Amakusa Medical Center Amakusa Japan.
Shizuka MitsubuchiDepartment of Pediatrics Amakusa Medical Center Amakusa Japan.
Yusuke MiyashitaDepartment of Pediatrics Amakusa Medical Center Amakusa Japan.
Toshihiko NonakaDepartment of Pediatrics Amakusa Medical Center Amakusa Japan.
Kimitoshi NakamuraDepartment of Pediatrics, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent spasmodic croup is uncommon in school-aged children and may reflect an atopy-associated upper-airway dysfunction rather than a viral illness. We reported a 14-year-old boy with perennial allergic rhinitis and cough-predominant asthma who experienced 10 early-morning episodes of barking cough and inspiratory stridor between 2020 and 2024. Despite the long-term prescription of inhaled corticosteroid therapy, seasonal discontinuation and inconsistent adherence were evident, and recurrent episodes persisted. After referral, integrated management including stepwise allergic-rhinitis treatment and re-education promoting year-round adherence was implemented. Although the direct impact of these interventions on episode recurrence could not be determined, cough symptoms improved and asthma control stabilized despite persistently elevated fractional nitric oxide (~60 ppb). Integrated upper- and lower-airway management and adherence optimization may help stabilize cough-predominant symptoms in atopic children.

Indexed as

adherenceallergic rhinitisasthmarecurrent spasmodic croupunited airway disease

Identifiers

PMID42643834
PMCPMC13504217

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.