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Vocal cord dysfunction: more morbid than asthma if misdiagnosed
B E Sekerel1, A Akpinarli, O Kalayci
1Hacettepe University School of Medicine, Pediatric Allergy and Asthma Division, Ankara, Turkey. b-sekerel@yahoo.com
Summary
Vocal cord dysfunction can mimic asthma symptoms, leading to misdiagnosis and harmful treatments. Consider vocal cord dysfunction in patients with unexplained breathing issues despite asthma care.
Area of Science:
- Pulmonology
- Laryngology
Background:
- Vocal cord dysfunction (VCD) is a condition characterized by paradoxical vocal fold adduction during respiration.
- It can present with symptoms that overlap significantly with asthma, including episodic dyspnea and wheezing.
Observation:
- This study highlights two adolescent cases misdiagnosed with asthma due to VCD.
- These patients received aggressive asthma treatment, resulting in iatrogenic complications.
Findings:
- VCD can be mistaken for asthma, leading to inappropriate and potentially harmful management.
- The misdiagnosis underscores the importance of a thorough differential diagnosis in patients with respiratory symptoms.
Implications:
- Clinicians should consider VCD in the differential diagnosis of asthma, particularly in patients with frequent emergency visits for dyspnea.
- Early and accurate diagnosis of VCD can prevent unnecessary asthma treatments and associated complications.