Snijders L A R S, van der Zeijden J, van Gogh C D L
St. Antonius Ziekenhuis, afd. Longziekten, Leidsche Rijn.
Contact: L.A.R.S. Snijders (
Ned Tijdschr Geneeskd. 2020 Sep 3;164:D4725.
A 26-year-old patient experiencing dyspnoea and wheezing during exercise was seen at the outpatient clinic. Asthma was considered, but treatment with salbutamol was unsuccessful. Spirometry revealed plateauing of the inspiratory and expiratory flow-volume loops. CT scan and additional flexible bronchoscopy with dilatation showed circumferential subglottic stenosis. ANA/ANCA tests were negative and biopsy revealed scar tissue with minimal inflammation. Based on these findings, we established a diagnosis of idiopathic subglottic stenosis.
一名26岁的患者在运动时出现呼吸困难和喘息，在门诊就诊。考虑为哮喘，但使用沙丁胺醇治疗无效。肺量计检查显示吸气和呼气流量-容积环呈平台状。CT扫描以及额外的带有扩张术的可弯曲支气管镜检查显示声门下环形狭窄。抗核抗体/抗中性粒细胞胞浆抗体检测为阴性，活检显示为瘢痕组织，炎症轻微。基于这些发现，我们诊断为特发性声门下狭窄。
