Table 2. Age-Related Differential Diagnosis for Wheezing
ConditionRelative Frequency of Occurrence
InfancyChildhoodAdolescence
Asthma+++++++
Airway malacia+++
Cystic fibrosis++++±
Foreign body+++++±
Airway infection++++++
Bronchopulmonary dysplasia++++
Primary ciliary dyskinesia++++
Bronchiectasis+++
Congenital anomalies (vascular ring)++++
Vocal cord dysfunction±++
Tumors±±±
Aspiration syndromes (including gastroesophogeal reflux)+±±
Pulmonary edema+++
  • −, Unlikely to present in this age group; +, likely to present in this age group.

  • Reprinted from Bacharier and Gilbert20 and Bacharier54; originally modified from Bierman and Pearlman.55