ABSTRACT
Laryngeal dysfunction occurs as periodical narrowing or closing of the glottis which does not depend on respiratory phase. Mechanism of this disorder is unknown. It is believed that it is caused by psychological factors or disturbed neural transmission from the respiratory tract. It results in disfunction of vocal cords and presents as episodes of airways obstruction misdiagnosed as asthma attacks. Authors present five cases mostly treated as severe bronchial asthma in which disfunction of vocal cords has been diagnosed on confirmed. In most of observed patients the psychological factor connected with family conflicts were the most probably background of the illness.
Subject(s)
Airway Obstruction/psychology , Laryngeal Diseases/psychology , Psychophysiologic Disorders , Adolescent , Adult , Airway Obstruction/etiology , Asthma/diagnosis , Asthma/psychology , Diagnosis, Differential , Female , Humans , Laryngeal Diseases/complicationsABSTRACT
The aim of the study was to evaluate the contribution of skin hyperreactivity to fungi in patients with bronchial asthma and demonstrating skin sensitivity to house dust. In 50 patients skin tests with 24 allergen solutions of fungi found most often in house dust. Positive skin tests were found in 92% of the evaluated patients. Reactions to fungi allergens were seen more often than to Dermatophagoides pteronyssimus. Most often skin reactivity toward the following fungal allergens were seen: Candida albicans, Aspergillus fumigatus, Fusarium culmorum and Aureobasidium pullulans. It seems that skin hypersensitivity to fungi is very common in patients with bronchial asthma and sensitive to house dust. Clinical verification of this hypersensitivity should be studied further.
