Vocal Cord Dysfunction Related to Water-Damaged Buildings
| Autor: | Jordan N. Fink, Chris Piacitelli, Kathleen Kreiss, M. Vasudev, Kristin J. Cummings |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Spirometry medicine.medical_specialty Laryngoscopy Bronchial Provocation Tests Occupational safety and health medicine Vocal cord dysfunction Humans Immunology and Allergy Respiratory sounds Sinusitis Intensive care medicine Respiratory Sounds Asthma Inhalation Exposure Hoarseness medicine.diagnostic_test business.industry Water Middle Aged Airway obstruction medicine.disease United States Dyspnea Cough Vocal Cord Dysfunction Air Pollution Indoor Emergency medicine Female Mitosporic Fungi business |
| Zdroj: | The Journal of Allergy and Clinical Immunology: In Practice. 1:46-50 |
| ISSN: | 2213-2198 |
| DOI: | 10.1016/j.jaip.2012.10.001 |
| Popis: | Background Vocal cord dysfunction (VCD) is the intermittent paradoxical adduction of the vocal cords during respiration, resulting in variable upper airway obstruction. Exposure to damp indoor environments is associated with adverse respiratory health outcomes, including asthma, but its role in the development of VCD is not well described. Objective We describe the spectrum of respiratory illness in occupants of 2 water-damaged office buildings. Methods The National Institute for Occupational Safety and Health conducted a health hazard evaluation that included interviews with managers, a maintenance officer, a remediation specialist who had evaluated the 2 buildings, employees, and consulting physicians. In addition, medical records and reports of building evaluations were reviewed. Diagnostic evaluations for VCD had been conducted at the Asthma and Allergy Center of the Medical College of Wisconsin. Results Two cases of VCD were temporally related to occupancy of water-damaged buildings. The patients experienced cough, chest tightness, dyspnea, wheezing, and hoarseness when in the buildings. Spirometry was normal. Methacholine challenge did not show bronchial hyperreactivity but did elicit symptoms of VCD and inspiratory flow-volume loop truncation. Direct laryngoscopy revealed vocal cord adduction during inspiration. Coworkers developed upper and lower respiratory symptoms; their diagnoses included sinusitis and asthma, consistent with recognized effects of exposure to indoor dampness. Building evaluations provided evidence of water damage and mold growth. Conclusion VCD can occur with exposure to water-damaged buildings and should be considered in exposed patients with asthma-like symptoms. |
| Databáze: | OpenAIRE |
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