Allergy Asthma Respir Dis.
2023 Apr;11(2):100-104. 10.4168/aard.2023.11.2.100.
A case of vocal cord dysfunction diagnosed in a 10-year-old girl with recurrent wheezing and dyspnea
- Affiliations
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- 1Department of Pediatrics, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul, Korea
- 2Department of Pediatrics, Keimyung University Dongsan Medical Center, Daegu, Korea
- 3Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea
- 4Depatment of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
- 5Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- KMID: 2541965
- DOI: http://doi.org/10.4168/aard.2023.11.2.100
Abstract
- Vocal cord dysfunction is one of the causes of dyspnea and is characterized by paradoxical closure of the vocal cords. The paradoxical movement of the vocal cords produces the limitation of airflow, resulting dyspnea, chest tightening, hoarseness, stridor, or wheezing. These findings are similar to those of other upper airway obstruction diseases or asthma; therefore, a high index of suspicion and clear differential diagnosis are required. Here, we discuss a case of vocal cord dysfunction aged 10 years that presented recurrent wheezing and dyspnea. The abnormal movement of the vocal cords was observed by fiberoptic laryngotracheobronchoscopy, which was correlated with stridor during respiration. Repeated episodic symptoms were controlled by the multidisciplinary team approach; however, surgical treatment was needed to stabilize the symptom.
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