Brown T M, Merritt W D, Evans D L
Department of Psychiatry, North Carolina Memorial Hospital, Chapel Hill 27514.
J Nerv Ment Dis. 1988 May;176(5):308-10. doi: 10.1097/00005053-198805000-00011.
The authors present a case of a depressed woman who had a long history of episodic respiratory distress that had been diagnosed as asthma. Psychiatric and otolaryngological evaluation revealed that the patient was suffering from paradoxical motion of the vocal cords (PMVC) which was associated temporally with psychological factors. The authors suggest that in some patients PMVC may be psychogenic and could be misdiagnosed as asthma. With early recognition of PMVC unnecessary respiratory treatment might be avoided and appropriate psychiatric assessment and treatment could be provided.
作者报告了一例患有抑郁症的女性病例，该女性有长期发作性呼吸窘迫病史，曾被诊断为哮喘。精神科和耳鼻喉科评估显示，该患者患有声带矛盾运动（PMVC），且在时间上与心理因素有关。作者认为，在某些患者中，PMVC可能是心因性的，可能会被误诊为哮喘。早期识别PMVC可以避免不必要的呼吸治疗，并能提供适当的精神科评估和治疗。
