[1] Univ Auckland, Dept Paediat Child & Youth Hlth, Private Bag 92019, Auckland 1142, New Zealand
[2] Counties Manukau Dist Hlth Board, Div Otolaryngol Head & Neck Surg, Auckland, New Zealand
[3] Harvard Med Sch, Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02115 USA
[4] Harvard Med Sch, Massachusetts Gen Hosp, Dept Med, Div Rheumatol Allergy & Immunol, Boston, MA 02115 USA