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Vocal cord dysfunction mimicking a severe asthma attack

J M Wolfe1, B M Meth

  • 1Department of Emergency Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA.

The Journal of Emergency Medicine
|February 9, 1999
PubMed
Summary
This summary is machine-generated.

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Vocal cord dysfunction, a rare airway obstruction, can mimic asthma. This case highlights its diagnosis in the Emergency Department via bronchoscopy for a patient with respiratory distress.

Area of Science:

  • Pulmonology
  • Emergency Medicine

Background:

  • Vocal cord dysfunction (VCD) is an uncommon cause of upper airway obstruction.
  • It is often misdiagnosed as asthma exacerbations, leading to delayed or incorrect treatment.

Observation:

  • A patient presented to the Emergency Department (ED) with acute respiratory distress.
  • The patient had a history of severe asthma and previous intubation.

Findings:

  • Bronchoscopy performed in the ED confirmed the diagnosis of vocal cord dysfunction.
  • This diagnosis was made despite the patient's presentation mimicking an acute asthma attack.

Implications:

  • This case underscores the importance of considering VCD in patients with apparent asthma exacerbations and respiratory distress.

Related Experiment Videos

  • Early diagnosis of VCD through bronchoscopy in the ED can prevent unnecessary asthma treatments and improve patient outcomes.