Paradoxical vocal cord adduction mimicking as acute asthma in a pediatric patient.
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Date
2001-03-10
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Abstract
We report an adolescent girl with paradoxical vocal cord adduction who presented with acute onset of hyperventilation, wheezing and stridor that did not respond to bronchodilator and anti-inflammation therapy. The paradoxical vocal cord motion was confirmed by flexible fiberoptic bronchoscopic examination. We found the stridor was induced by hyperventilation, and was caused by paradoxical vocal cord movement. The abnormal cord motion may be psychogenic and could be misdiagnosed as asthma. It is important to investigate the underlying background and social history and to avoid unnecessary use of beta-agonists, steroids, and even endotracheal intubation or tracheostomy.
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Published by the Allergy and Immunology Society of Thailand.
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Chiu CY, Wong KS, Huang JL. Paradoxical vocal cord adduction mimicking as acute asthma in a pediatric patient. Asian Pacific Journal of Allergy and Immunology. 2001 Mar; 19(1): 55-8