Tuberculosis and Respiratory Diseases

  • 제52권3호
  • /
  • Pages.265-270
  • /
  • 2002
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

운동유발성 기관지천식으로 오인된 성대 기능 이상 1례

A Case of Vocal Cord Dysfunction Masqueraded as Exercised-Induced Asthma

  • 조창래 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 심선진 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 박상현 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Jo, Chang-Lae (Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sym, Sun-Jin (Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Sang-Hyun (Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Nam, Soon-Yuhl (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Koh, Youn-Suck (Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 발행 : 2002.03.30
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초록

운동유발성 호흡곤란으로 내원하여 운동유발성 천식으로 치료 하였으나 증상 호전이 없어 운동후 기관지 내시경을 시행하여 성대기능이상을 확진하고 치료한 운동유발성 성대기능이상 1례를 문헌고찰과 함께 보고하는 바이다.

Vocal cord dysfunction (VCD) is respiratory disorder characterized by paradoxical closure of the vocal cord during the respiratory cycle leading to obstructive airway symptoms. The clinical presentation of VCD is often dramatic and its misdiagnosis as asthma or exercise-induced brochospasm(EIB) has led to inappropriate treatment including high dose corticosteroids, intubation, and tracheostomy. Many VCD patients are asymptomatic at rest and require exercise challenge to elicit symptoms and vocal cord abnormalities. The "gold standard" for the diagnosis of VCD remains laryngoscopy or bronchoscopy with direct visualization of paradoxical adduction of the vocal cords. We report a case of exercise-induced Vocal cord masqueraded as exercise-induced asthma unresponsive to corticosteroids. And bronchodilator confirmed by typical bronchoscopic findings with paradoxial adduction of the vocal cords.

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