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A 9-year-old boy presented with an 18-month history of faltering growth, recurrent respiratory tract infections, persistent 'apthous' ulcer on his tongue and 'warts' on his fi ngertips and soles.He is the second offspring of a healthy unrelated Sri Lankan couple and past medical history was unremarkable. Baseline

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We conclude that for the same degree of lung function impairment females tend to report more (severe) dyspnoea and cough, but less phlegm. Knowledge of this difference in reporting symptoms is important as symptoms often are the first step to a diagnosis of underlying airway disease. @ERSpublications For the same degree of lung function impairment females tend to report more (severe) dyspnoea and cough, but less phlegm