PEDIATRICS Vol. 75 No. 5 May 1985, pp. 990-991
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Asthma and Pneumomediastinum

JACOB HEN JR MD1

1 Pediatric Intensive Care Unit, Bridgeport Hospital, 267 Grant St, Bridgeport, CT 06610

To the Editor.—

An important piece of clinical information to add to Sturtz's recent review of spontaneous mediastinal emphysema in children1 is that mediastinal emphysema may be the first clinical clue to the presence of childhood asthma. Over the past 4 years, we have seen four children with cough and subcutaneous emphysema in the neck and no previous history of respiratory problems or asthma. These children had hyperinflated lungs and mediastinal emphysema demonstrated on admission chest roentgenograms and physical examination revealed wheezing.