Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

A Case of Functional Upper Airway Obstruction Due To Vocal Cord Dysfunction

성대 운동이상에 의한 기능성 상기도 폐색 1예

  • Suh, Jung-Kyung (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Sang-Yeub (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Sang-Hwa (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Park, Sang-Myun (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Cho, Jae-Youn (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Shim, Jae-Jeong (Department of Internal Medicine, College of Medicine, Korea University) ;
  • In, Kwang-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kang, Kyung-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Yoo, Se-Hwa (Department of Internal Medicine, College of Medicine, Korea University)
  • 서정경 (고려대학교 의과대학 내과학교실) ;
  • 이상엽 (고려대학교 의과대학 내과학교실) ;
  • 이상화 (고려대학교 의과대학 내과학교실) ;
  • 박상면 (고려대학교 의과대학 내과학교실) ;
  • 조재연 (고려대학교 의과대학 내과학교실) ;
  • 심재정 (고려대학교 의과대학 내과학교실) ;
  • 인광호 (고려대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실) ;
  • 유세화 (고려대학교 의과대학 내과학교실)
  • Published : 1996.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Functional upper airway obstruction due to vocal cord dysfunction is being increasingly recognized and has been variously described as "Munchausen's stridor", "Emotional laryngeal wheezing", "Nervous asthma". It's features are symptoms of acute reversible recurrent dyspnea associated with an inspiratory stridor, normal anatomy of the upper airway, demonstration of variable severe exthrathoracic upper airways obstruction with pathologic adduction of the vocal cord at bronchoscopy. The patients with this condition are frequently misdiagnosed as asthma and the diagnosis is often delayed. So they can present a serious medical problem and are exposed to the complication of treatment and investigation. We report a case of functional upper airway obstruction due to vocal cord dysfunction who showed paradoxical vocal cord motion at bronchoscopy and typical features of variable exthrathoracic obstruction on Flow-volume loop during a symptomatic period.

저자등은 호흡곤란을 주소로 내원한 성대 운동이상에 의한 기능성 상기도 폐색증 1예를 기관지내시경 및 폐기능검사로 확진하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords