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Psychogenic vocal cord dysfunction masquerading as asthma.

T M Brown1, W D Merritt, D L Evans

  • 1Department of Psychiatry, North Carolina Memorial Hospital, Chapel Hill 27514.

The Journal of Nervous and Mental Disease
|May 1, 1988
PubMed
Summary
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This case study highlights paradoxical vocal cord motion (PVCM), a condition often misdiagnosed as asthma. Recognizing PVCM

Area of Science:

  • Psychiatry
  • Otolaryngology
  • Pulmonology

Background:

  • A patient with a history of episodic respiratory distress, previously diagnosed as asthma.
  • The patient also presented with symptoms of depression.

Observation:

  • Psychiatric and otolaryngological evaluations were conducted.
  • The patient exhibited paradoxical motion of the vocal cords (PMVC).
  • PMVC episodes were temporally associated with psychological factors.

Findings:

  • The patient was diagnosed with paradoxical motion of the vocal cords (PMVC).
  • The findings suggest PMVC can be psychogenic in some cases.
  • PMVC was potentially misdiagnosed as asthma.

Implications:

Related Experiment Videos

  • Early recognition of PMVC can prevent unnecessary respiratory treatments.
  • Appropriate psychiatric assessment and treatment can be initiated for psychogenic PMVC.
  • This case underscores the importance of interdisciplinary evaluation for complex respiratory symptoms.