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Vocal cord dysfunction during wartime.

T Craig¹, K Sitz, E Squire

¹Allergy/Immunology Service, Walter Reed Army Medical Center, Washington, DC 20307.

Military Medicine

|November 1, 1992

Summary

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Vocal cord dysfunction (VCD) mimics asthma, often missed by clinicians. Early suspicion and diagnosis are key to effective treatment and avoiding harmful medications.

Area of Science:

Pulmonology
Psychiatry

Background:

Vocal cord dysfunction (VCD) is frequently misdiagnosed as asthma.
It presents atypically or fails to respond to standard asthma therapies.

Observation:

VCD is considered a conversion reaction.
Its incidence may rise during stressful periods like wartime.

Findings:

A high index of suspicion is crucial for diagnosing VCD.
Misdiagnosis can lead to unnecessary and toxic treatments.

Implications:

Prompt psychiatric care and speech therapy are vital for VCD management.
Accurate diagnosis prevents inappropriate asthma medication use.