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哮喘疑似病例:与喘息相关的声带小结病例报告及文献综述

Asthma mimic: Case report and literature review of vocal cord nodule associated with wheezing.

作者信息

Kashif Muhammad, Singh Tushi, Aslam Ahsan, Khaja Misbahuddin

机构信息

Icahn School of Medicine at Mount Sinai and Division of Pulmonary & Critical Care Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.

Icahn School of Medicine at Mount Sinai and Department of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.

出版信息

SAGE Open Med Case Rep. 2017 Dec 4;5:2050313X17744980. doi: 10.1177/2050313X17744980. eCollection 2017.

Abstract

Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. Various clinical conditions can mimic asthma, such as foreign body aspiration, subglottic stenosis, congestive heart failure, diffuse panbronchiolitis, aortic arch anomalies, reactive airway dysfunction syndrome, chronic obstructive pulmonary disease, retrosternal goiter, vocal cord tumors, other airway tumors, and vocal cord dysfunction. Upper airway obstruction can be a life-threatening emergency. Here, we present the case of a 58-year-old female with recurrent hospital visits for wheezing and exacerbations of asthma, who was later found to have a vocal cord nodule confirmed to be squamous cell carcinoma, which was mimicking like asthma.

摘要

哮喘是一种异质性疾病,通常以慢性气道炎症为特征。多种临床情况可酷似哮喘,如异物吸入、声门下狭窄、充血性心力衰竭、弥漫性泛细支气管炎、主动脉弓异常、反应性气道功能障碍综合征、慢性阻塞性肺疾病、胸骨后甲状腺肿、声带肿瘤、其他气道肿瘤以及声带功能障碍。上气道梗阻可能是危及生命的急症。在此,我们报告一例58岁女性病例,该患者因喘息及哮喘加重反复就诊,后来发现有声带结节,确诊为鳞状细胞癌,其症状酷似哮喘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be96/5718308/ada484e72bce/10.1177_2050313X17744980-fig1.jpg

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