성대기능 이상과 연관된 호흡부전 1예 -증례 보고-
A Fatal Case of Vocal Cord Dysfunction -A Case Report-
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Vocal cord dysfunction is characterized by the paradoxical adduction of the vocal cord during inspiration, causing relapsing wheezing or stridor, chest tightness, shortness of breath, and coughing. If the patient exhibiting symptoms of asthma is not responsive to treatment, there is a need to test whether vocal cord dysfunction is complicated by asthma. Herein, we report a case of vocal cord dysfunction with acute respiratory failure in old age with underlying disease. The patient presented with resting dyspnea, an audible wheeze, and was first diagnosed with acute exacerbation of bronchial asthma. However, her symptoms were not controlled with medical treatment and laryngoscopy showed paradoxical adduction of the vocal cords. Sudden cardiopulmonary arrest occurred after meal on the day of laryngoscopic examination. Although successful cardiopulmonary resuscitation, the patient developed ventilator- associated pneumonia, and multiple organ failure, eventually leading to death. Because the case was fatal, a report is being issued.
Abstract
Vocal cord dysfunction is characterized by the paradoxical adduction of the vocal cord during inspiration, causing relapsing wheezing or stridor, chest tightness, shortness of breath, and coughing. If the patient exhibiting symptoms of asthma is not responsive to treatment, there is a need to test whether vocal cord dysfunction is complicated by asthma. Herein, we report a case of vocal cord dysfunction with acute respiratory failure in old age with underlying disease. The patient presented with resting dyspnea, an audible wheeze, and was first diagnosed with acute exacerbation of bronchial asthma. However, her symptoms were not controlled with medical treatment and laryngoscopy showed paradoxical adduction of the vocal cords. Sudden cardiopulmonary arrest occurred after meal on the day of laryngoscopic examination. Although successful cardiopulmonary resuscitation, the patient developed ventilator- associated pneumonia, and multiple organ failure, eventually leading to death. Because the case was fatal, a report is being issued.
참고문헌 (13)
- 허정아, "성대 기능 이상 1례", Korean Journal of Pediatrics, 47(5), pp.574~578 (2004), 대한소아과학회
- Koh YI, "Two cases of vocal cord dysfunction", Korean J Med, 67(Suppl 3), pp.S902~S907 (2004)
- 조창래, "운동유발성 기관지천식으로 오인된 성대 기능 이상 1례", Tuberculosis and Respiratory Diseases, 52(3), pp.265~570 (2002), 대한결핵및호흡기학회
- Park DP, "Vocal cord dysfunction treated with long-term tracheostomy: 2 case studies", Ann Allergy Asthma Immunol, 98, pp.591~594 (2007)
- Mikita JA, "Vocal cord dysfunction", Allergy Asthma Proc, 27, pp.411~414 (2006)
- Morris MJ, "Diagnostic criteria for the classification of vocal cord dysfunction", Chest, 138, pp.1213~1223 (2010)
- Kenn K, "Vocal cord dysfunction: an important differential diagnosis of bronchial asthma", Dtsch Arztebl Int, 105, pp.699~704 (2008)
- Mikita J, "High levels of medical utilization by ambulatory patients with vocal cord dysfunction as compared to age- and gender-matched asthmatics", Chest, 129, pp.905~908 (2006)
- Global Strategy for Asthma Management and Prevention, "Global Initiative for Asthma", National Heart, Lung, and Blood Institute. National Institutes of Health, 1~124 (2011)
- Bisaccioni C, "Comorbidities in severe asthma: frequency of rhinitis, nasal polyposis, gastroesophageal reflux disease, vocal cord dysfunction and bronchiectasis", Clinics, 64, pp.769~773 (2009)
- Doshi DR, "Long-term outcome of vocal cord dysfunction", Ann Allergy Asthma Immunol, 96, pp.794~799 (2006)
- Leo RJ, "Psychogenic respiratory distress: A case of paradoxical vocal cord dysfunction and literature review", Prim Care Companion J Clin Psychiatry, 1, pp.39~46 (1999)
- Goldstein R, "Severe vocal cord dysfunction resistant to all current therapeutic interventions", Respir Med, 101, pp.857~858 (2007)