一个矛盾的声带运动案例被误诊为过敏反应
Mustafa Ilker Inan1, Yasemin Akgul Balaban1, Sait Yesillik1
1Ankara Gulhane Training and Research Hospital, Division of Immunology and Allergic Diseases, Ankara, Turkiye.
Allergologie select
|July 26, 2024
概括
矛盾的声带运动 (PVCM) 可以模仿过敏反应,导致上呼吸道阻塞. 在患者中识别PVCM有不明原因的纹,可以防止不必要的治疗过敏反应.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 过敏反应是一种严重的,危及生命的过敏反应,通常是由食物,药物或毒液引发的.
- 矛盾的声带运动 (PVCM) 导致上呼吸道阻塞,原因是呼吸过程中声带的异常加伸.
- PVCM可能被误诊为喘或过敏反应,导致诊断延迟.
研究的目的:
- 强调在出现暗示过敏反应的症状的患者中考虑PVCM的重要性,特别是stridor.
- 介绍一个PVCM最初被误诊为异常性过敏反应的案例.
主要方法:
- 病例报告:20岁的男性患有疹和疹.
- 对异常性过敏反应的初步评估和治疗.
- 随后的诊断PVCM的复发性斯特里多攻击后.
主要成果:
- 患者最初接受了针对异常性过敏反应的治疗.
- 经常出现的鱼攻击导致PVCM的重新评估和诊断.
- 这一案例说明了潜在的诊断挑战.
结论:
- 应考虑在患有复发性,不明原因的纹的患者中使用PVCM.
- 在对过敏反应治疗无反应的斯特里多病例中,考虑PVCM.
- 诊断PVCM可以帮助避免不必要的治疗,如上腺素,皮质类固醇,输管或气管切除术.
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