{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:18:13Z","timestamp":1787804293238,"version":"build-2784847793"},"reference-count":6,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Recurrent spasmodic croup is uncommon in school\u2010aged children and may reflect an atopy\u2010associated upper\u2010airway dysfunction rather than a viral illness. We reported a 14\u2010year\u2010old boy with perennial allergic rhinitis and cough\u2010predominant asthma who experienced 10 early\u2010morning episodes of barking cough and inspiratory stridor between 2020 and 2024. Despite the long\u2010term prescription of inhaled corticosteroid therapy, seasonal discontinuation and inconsistent adherence were evident, and recurrent episodes persisted. After referral, integrated management including stepwise allergic\u2010rhinitis treatment and re\u2010education promoting year\u2010round 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\u2009ppb). Integrated upper\u2010 and lower\u2010airway management and adherence optimization may help stabilize cough\u2010predominant symptoms in atopic children.<\/jats:p>","DOI":"10.1002\/rcr2.70686","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T07:07:52Z","timestamp":1787641672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Spasmodic Croup\u2010Like Episodes With Cough\u2010Predominant Symptoms in an Atopic School\u2010Aged Child: The Importance of Integrated Upper\u2010 and Lower\u2010Airway Management"],"prefix":"10.1002","volume":"14","author":[{"given":"Rina","family":"Sakaguchi","sequence":"first","affiliation":[{"name":"Department of Pediatrics Amakusa Medical Center  Amakusa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizuka","family":"Mitsubuchi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Amakusa Medical Center  Amakusa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Amakusa Medical Center  Amakusa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiko","family":"Nonaka","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Amakusa Medical Center  Amakusa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimitoshi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Graduate School of Medical Sciences Kumamoto University  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60170-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.71.6.871"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007667"},{"key":"e_1_2_9_5_1","unstructured":"(GINA) GIfA \u201cGlobal Strategy for Asthma Management and Prevention \u201d(Global Initiative for Asthma: 2025)."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.70131"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.9120-11ST"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70686","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70686","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:22:31Z","timestamp":1787800951000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/rcr2.70686"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70686","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-05-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70686"}}