We are reporting a 7μ-year-old child who had coexisting paradoxical vocal cord motion (PVCM) and asthma. There are only a few reported cases of PVCM in children younger than 10 years of age. Thus diagnosis mainly relies on high index of suspicion for these children. Missing PVCM diagnosis can lead to unnecessary diagnostic and therapeutic interventions to control asthma. We hope that this case report would increase the awareness of such coexistence in such a young age group. Pediatr Pulmonol. © 2011 Wiley Periodicals, Inc.