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[Psychogenic laryngeal dysfunction--pseudo-asthmatic syndrome]
M Szmidt1, S W Kosiński, I Grzelewska-Rzymowska
1Kliniki Pneumonologii i Alergologii IMW, Lodzi.
Polskie Archiwum Medycyny Wewnetrznej
|March 1, 1994
Summary
Vocal cord dysfunction, a cause of airway obstruction often misdiagnosed as asthma, involves periodic glottis narrowing. Psychological factors may contribute to this laryngeal dysfunction.
Area of Science:
- Medicine
- Pulmonology
- Otolaryngology
Background:
- Laryngeal dysfunction involves periodic glottis narrowing unrelated to respiratory phase.
- The exact mechanism remains unknown, with suspected links to psychological factors or neural transmission issues.
Observation:
- Five cases of laryngeal dysfunction, previously treated as severe asthma, are presented.
- Patients experienced episodes of airway obstruction mimicking asthma attacks.
Findings:
- Vocal cord dysfunction was confirmed in all observed patients.
- Psychological factors, particularly family conflicts, were identified as a probable background in most cases.
Implications:
- Highlights the importance of considering vocal cord dysfunction in asthma misdiagnosis.
- Suggests a need for integrated psychological assessment in managing certain airway obstruction cases.