Mokoka Matshediso Constantia, Ullah Khalil, Curran David R, O'Connor Terence M
Department of Respiratory Medicine, Mercy University Hospital, Cork, Ireland.
BMJ Case Rep. 2013 Sep 26;2013:bcr2013201100. doi: 10.1136/bcr-2013-201100.
Upper airway obstruction can present with stridor or expiratory or inspiratory wheeze and is commonly misdiagnosed as asthma. As asthma is common, such cases can remain hidden among patients with lower airway obstruction who attend primary care or respiratory clinics. We describe four causes of upper airway obstruction (paradoxical vocal cord movement, subglottic stenosis, retrosternal goitre and double aortic arch) which were misdiagnosed as 'poorly controlled asthma'.
上气道梗阻可表现为喘鸣或呼气性或吸气性哮鸣，常被误诊为哮喘。由于哮喘很常见，此类病例在就诊于基层医疗或呼吸科诊所的下气道梗阻患者中可能被忽视。我们描述了四种被误诊为“哮喘控制不佳”的上气道梗阻病因（矛盾性声带运动、声门下狭窄、胸骨后甲状腺肿和双主动脉弓）。
