천식은 쌕쌕거림, 숨가쁨, 가슴 답답함 등의 특징적인 증상이 없었기 때문에 진단에서 제외하였다.
Asthma was excluded from the diagnosis because the patient didnot exhibit any of its characteristic symptoms, such as wheezing, shortness of breath, or chest tightness.