Charting Pediatrics

Is It Really Asthma?

September 15, 2026·26 min
Episode Description from the Publisher

Wheezing, cough and increased work of breathing are common pediatric presentations that can quickly lead clinicians to consider asthma. But not every child with lower -airway symptoms has asthma. Viral illness, tracheomalacia, aspiration and other conditions can mimic asthma, making the underlying cause difficult to recognize based on symptoms alone. In this episode, we take a closer look at the clinical clues that can help pediatricians distinguish non-asthmatic causes of lower-airway symptoms from asthma.  Monica Federico, MD, is a pulmonologist at Children's Hospital Colorado, the medical director of the hospital's asthma program and a professor at the University of Colorado School of Medicine.  Some highlights from this episode include: Common pediatric presentations that can mimic asthma  Clinical clues that may point to a non-asthmatic cause of wheezing or cough  Viral illness, tracheomalacia and aspiration as alternative diagnoses  When persistent or atypical symptoms should prompt a broader evaluation<span class="EOP Selected SCXW121939910 BCX0" data-ccp-props= "{"134245418":true,"13424

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