Asthma-like symptoms: Is it always a pulmonary issue?

Davide Piloni, Claudio Tirelli, Rita Di Domenica, Valentina Conio, Amelia Grosso, Vanessa Ronzoni, Filippo Antonacci, Pasquale Totaro, Angelo G. Corsico

Research output: Contribution to journalArticle

Abstract

Background: Double aortic arch is a rare congenital and complete vascular ring around trachea and esophagus. It is usually diagnosed during infancy. The symptoms are generally related to respiratory and gastroesophageal tracts. Case presentation: A 20-year-old female patient was referred to our outpatient clinic for persistent dry cough. She had a history of an episode of inhalation of food bolus as an infant and recurrent bronchitis, anorexia and allergic bronchial asthma since the childhood. Since the beginning, an intrathoracic obstruction was suspected at pulmonary function tests. After 1 month of complete asthma treatment, the cough was unchanged and the spirometry confirmed the presence of an intrathoracic obstruction. Then, she underwent a chest CT with contrast medium, a contrast transthoracic echocardiography, a fiberbronchoscopy and an esophageal radiography with contrast medium. The final diagnosis was made and a double aortic arch was found. Conclusion: A careful observation of the flow/volume curve should always be guaranteed and the presence of congenital vascular anomalies should be suspected in case of difficult-to-treat asthma.

Original languageEnglish
Article number21
JournalMultidisciplinary Respiratory Medicine
Volume13
Issue number1
DOIs
Publication statusPublished - Aug 3 2018
Externally publishedYes

Fingerprint

Asthma
Thoracic Aorta
Cough
Lung
Contrast Media
Blood Vessels
Echocardiography
Bronchitis
Spirometry
Respiratory Function Tests
Anorexia
Ambulatory Care Facilities
Trachea
Radiography
Respiratory System
Inhalation
Esophagus
Thorax
Observation
Food

Keywords

  • Central airway
  • Double aortic arch
  • Persistent cough
  • Spirometry

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Asthma-like symptoms : Is it always a pulmonary issue? / Piloni, Davide; Tirelli, Claudio; Domenica, Rita Di; Conio, Valentina; Grosso, Amelia; Ronzoni, Vanessa; Antonacci, Filippo; Totaro, Pasquale; Corsico, Angelo G.

In: Multidisciplinary Respiratory Medicine, Vol. 13, No. 1, 21, 03.08.2018.

Research output: Contribution to journalArticle

Piloni, D, Tirelli, C, Domenica, RD, Conio, V, Grosso, A, Ronzoni, V, Antonacci, F, Totaro, P & Corsico, AG 2018, 'Asthma-like symptoms: Is it always a pulmonary issue?', Multidisciplinary Respiratory Medicine, vol. 13, no. 1, 21. https://doi.org/10.1186/s40248-018-0136-5
Piloni D, Tirelli C, Domenica RD, Conio V, Grosso A, Ronzoni V et al. Asthma-like symptoms: Is it always a pulmonary issue? Multidisciplinary Respiratory Medicine. 2018 Aug 3;13(1). 21. https://doi.org/10.1186/s40248-018-0136-5
Piloni, Davide ; Tirelli, Claudio ; Domenica, Rita Di ; Conio, Valentina ; Grosso, Amelia ; Ronzoni, Vanessa ; Antonacci, Filippo ; Totaro, Pasquale ; Corsico, Angelo G. / Asthma-like symptoms : Is it always a pulmonary issue?. In: Multidisciplinary Respiratory Medicine. 2018 ; Vol. 13, No. 1.
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