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Case reports - When bronchial obstruction in the young adult is not asthma and inhalers do not help
Anne Sigvard1,2, Uffe Bødtger1,3
1a Department of Internal Medicine , Unit of Pulmonary Medicine , Naestved Sygehus, Naestved , Denmark.
Abstract
Introduction:
Localised bronchial obstruction is a rare differential diagnosis to asthma.
Case Study:
We describe two younger patients treated unsuccessfully for asthma and eventually diagnosed with localised bronchoconstriction.
Results:
Bronchoscopy revealed bronchoconstriction: Tracheobronchomalacia in case 1 and fixed obstruction in case 2.
Conclusion:
A systematic approach to the asthma patient with absent response to therapy facilitates rational use of therapeutic and diagnostic resources.
