ABSTRACT
Vocal cord dysfunction is a respiratory condition characterized by anomalous adduction of the vocal cords during inspiration, causing significant air flow limitation in the larynx. Few such cases have been described in which dysfunction is triggered by exercise. We report the case of a young women with severe dyspnea appearing as a result of physical activity. We first deal with issues of differential diagnosis in relation to several other diseases, particularly exercise-induced asthma and then discuss therapeutic approaches.
Subject(s)
Airway Obstruction/diagnosis , Asthma, Exercise-Induced/diagnosis , Laryngeal Diseases/diagnosis , Vocal Cords , Adolescent , Airway Obstruction/etiology , Airway Obstruction/prevention & control , Diagnosis, Differential , Female , Humans , Laryngeal Diseases/complications , Laryngeal Diseases/prevention & controlABSTRACT
La disfunción de cuerdas vocales es una condición respiratoria caracterizada por una aducción anómala de las cuerdas vocales durante la inspiración, lo que resulta en una importante limitación al flujo aéreo en la zona laríngea. Se han descrito pocos casos en los que dicho fenómeno se presente inducido por el ejercicio. Presentamos el caso de una mujer joven con crisis de disnea graves que aparecían con la actividad física, planteando en primer lugar un problema de diagnóstico diferencial con diversas entidades, especialmente el asma inducida por el ejercicio, así como de enfoque terapéutico (AU)
Subject(s)
Adolescent , Female , Humans , Vocal Cords , Asthma, Exercise-Induced , Diagnosis, Differential , Airway Obstruction , Laryngeal DiseasesSubject(s)
Accreditation , Education, Medical, Graduate , Pulmonary Medicine/education , Teaching , SpainABSTRACT
Oral ebastine, 10 mg once daily for seven days, and placebo were compared as treatment for active perennial allergic rhinitis in 151 patients in a multicenter, randomized, double-blind trial. Ebastine treatment produced a significant reduction in the incidence and severity of most symptoms associated with perennial rhinitis. Tolerability was similar in the two treatment groups. The incidences of drowsiness and dry mouth were not more frequent in the patients treated with the active drug.
