TY - JOUR T1 - Irritant vocal cord dysfunction at first misdiagnosed as reactive airway dysfunction syndrome JO - Scandinavian Journal of Work, Environment & Health PY - 2005/6VL - 31 IS - 3 SP - 224 EP - 226 AU - Galdi, Eugenia AU - Perfetti, Luca AU - Pagella, Fabio AU - Bertino, Giulia AU - Ferrari, Massimo AU - Moscato, Gianna M3 - doi: 10.5271/sjweh.873 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=873 KW - case report KW - diagnosis KW - irritant vocal cord dysfunction KW - misdiagnosis KW - occupational asthma KW - reactive airway dysfunction syndrome N2 - '

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OBJECTIVE ': 'This report describes a case of vocal cord dysfunction at first misdiagnosed as reactive airway dysfunction syndrome (RADS).

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METHODS ': 'A woman developed recurrent episodes of cough, dyspnea, and wheezing unresponsive to asthma therapy after irritant exposure to glutaraldehyde. Direct laryngoscopy was performed immediately after the induction of symptoms.

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RESULTS ': 'Laringoscopy showed a paradoxical adduction of the vocal cord on inspiration. Vocal cord dysfunction was diagnosed.

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CONCLUSIONS ': 'A case of vocal cord dysfunction occurred after exposure to glutaraldheyde in a person with a history highly suggestive of RADS. Vocal cord dysfunction should always be considered in the differential diagnosis of patients with acute respiratory symptoms after exposure to irritants and with asthma-like symptoms that fail to respond to conventional asthma therapy.

SN - 0355-3140 ER -