Rare causes of persistent wheeze that mimic poorly controlled asthma

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 uppe...

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Bibliographic Details
Published in:	BMJ case reports Vol. 2013; p. bcr2013201100
Main Authors:	Mokoka, Matshediso Constantia, Ullah, Khalil, Curran, David R, O'Connor, Terence M
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group LTD 26-09-2013 BMJ Publishing Group
Series:	Case Report
Subjects:	Adolescent Aged Airway management Asthma Asthma - diagnosis Bronchoscopy Diagnosis, Differential Diagnostic Errors Dyspnea Europe (West) Female Gastroesophageal reflux Humans Larynx Male Middle Aged Respiratory Sounds - diagnosis Severity of Illness Index Sleep apnea Unusual Presentation of More Common Disease/Injury White
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Summary:	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’.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2013-201100