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Severe upper airway obstruction in essential tremor presenting as asthma
J L Izquierdo-Alonso1, P Martínez-Martín, M A Juretschke-Moragues
1Pneumology Department, Hospital Universitario de Getafe, Madrid, Spain.
The European Respiratory Journal
|June 1, 1994
Abstract:
A 57 year old man with essential tremor (ET) presented with a 2 year history of paroxysmal attacks of dyspnoea and wheezing. He had been diagnosed as having bronchial asthma, and propanolol was excluded from his treatment. Flow-volume loops showed abrupt changes in maximum flows, with poor reproducibility. A diagnosis of functional upper airway obstruction was confirmed by fibreoptic bronchoscopy. The importance of establishing the precise diagnosis, in order to provide appropriate treatment, is emphasized.