Chakrabarty Ashima Datey
Department of Pulmonology, Eesha Multispeciality Hospitals, Hyderabad, India.
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S201-2. doi: 10.4103/2230-8210.119571.
The common causes of stridor in adults are abscesses or swelling of upper airway, tumors, paralysis or malfunction of vocal cords. Laryngospasm due to hypocalcemia is a rare cause of stridor in adults, although occasionally reported in the neonates. We report an elderly lady having stridor and laryngospasm, secondary to acquired hypoparathyroidism and secondary hypocalcemia, without risk factors for hypoparathyroidism such as recent neck surgery or irradiation. We did an extensive review of literature to find only a few cases of acquired primary hypoparathyroidism in adults with the only complaint being stridor. This case underlines the fact that a common symptom like stridor rarely occurs due to uncommon causes. This case is being reported for its rarity and amenability to complete cure in event of correct diagnosis.
成人喘鸣的常见原因是上呼吸道脓肿或肿胀、肿瘤、声带麻痹或功能障碍。低钙血症引起的喉痉挛是成人喘鸣的罕见原因，尽管在新生儿中偶尔有报道。我们报告了一位老年女性，继发于获得性甲状旁腺功能减退和继发性低钙血症，出现喘鸣和喉痉挛，且没有甲状旁腺功能减退的危险因素，如近期颈部手术或放疗。我们广泛查阅文献，仅发现少数成人获得性原发性甲状旁腺功能减退病例，唯一的主诉是喘鸣。该病例强调了这样一个事实，即像喘鸣这样的常见症状很少由不常见的原因引起。报告该病例是因其罕见性以及在正确诊断的情况下可完全治愈。
