Wheezing and vocal cord dysfunction mimicking asthma
| Autor: | Abdul H. Bahrainwala, Michael R. Simon |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Pulmonary and Respiratory Medicine
Spirometry Adult endocrine system Pediatrics medicine.medical_specialty Stridor medicine.medical_treatment Laryngoscopy Vocal Cords Diagnosis Differential otorhinolaryngologic diseases medicine Vocal cord dysfunction Intubation Humans Child Asthma Respiratory Sounds medicine.diagnostic_test business.industry Emergency department medicine.disease Prognosis respiratory tract diseases Respiratory Function Tests Child Preschool Acute Disease Chronic Disease medicine.symptom business Airway |
| Zdroj: | Current opinion in pulmonary medicine. 7(1) |
| ISSN: | 1070-5287 |
| Popis: | Vocal cord dysfunction (VCD) is a respiratory disorder characterized by paradoxical closure of the vocal cords during the respiratory cycle leading to obstructive airway symptoms. The presenting symptoms vary from stridor to wheezing. VCD may coexist with asthma or masquerade as asthma. Misdiagnosis of VCD as asthma leads to inappropriate use of systemic steroids with its adverse effects, frequent emergency department visits, hospitalization, and, rarely, intubation and tracheostomy. Attenuation of the inspiratory flow volume loop on spirometry is suggestive of VCD. Laryngoscopic demonstration of the paradoxical vocal cord movements during an acute attack is the gold standard for the diagnosis of VCD. Patient education, speech therapy, and psychologic counseling are the therapeutic tools for treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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