Irritant vocal cord dysfunction at first misdiagnosed as reactive airway dysfunction syndrome

Eugenia Galdi, Luca Perfetti, Fabio Pagella, Giulia Bertino, Massimo Ferrari, Gianna Moscato

Research output: Contribution to journalArticle

Abstract

Objective: This report describes a case of vocal cord dysfunction at first misdiagnosed as reactive airway dysfunction syndrome (RADS). Methods: A woman developed recurrent episodes of cough, dyspnea, and wheezing unresponsive to asthma therapy after irritant exposure to glutaraldehyde. Direct laryngoscopy was performed immediately after the induction of symptoms. Results: Laringoscopy showed a paradoxical adduction of the vocal cordon inspiration. Vocal cord dysfunction was diagnosed. Conclusions: A case of vocal cord dysfunction occurred after exposure to glutaraldheyde in a person with a history highly suggestive of RADS. Vocal cord dysfunction should always be considered in the differential diagnosis of patients with acute respiratory symptoms after exposure to irritants and with asthma-like symptoms that fail to respond to conventional asthma therapy.

Original languageEnglish
Pages (from-to)224-226
Number of pages3
JournalScandinavian Journal of Work, Environment and Health
Volume31
Issue number3
Publication statusPublished - Jun 2005

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Keywords

  • Diagnosis
  • Misdiagnosis
  • Occupational asthma

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Toxicology
  • Geography, Planning and Development
  • Health, Toxicology and Mutagenesis

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