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'Exercise induced asthma' is not always asthma
- Source :
- Respiratory Medicine Case Reports, Vol 24, Iss , Pp 138-142 (2018)
- Publication Year :
- 2018
- Publisher :
- Elsevier, 2018.
-
Abstract
- A 25 year old woman was referred to our center for further evaluation of an exercise-induced dyspnea. Moreover, the patient suffered from hoarseness and recurrent sinusitis and otitis.After initially finding nothing suspicious, a spiro-ergometry was performed. Interestingly, we saw a relevant limitation of the inspiratory flow-volume curve under maximal exercise load. Further evaluation (in particular the bronchoscopy and the resulting biopsies) led us to the final diagnosis of a granulomatosis with polyangiitis.After 4 weeks of an established therapy regime with prednisone and rituximab the prior detected subglottic stenosis and the inspiratory flow-volume curve limitation could no longer detected.We describe a rare differential diagnosis of an exercise-induced asthma and we underline the importance of a multimodal therapy concept. We highlight the critical nature of the flow-volume curve in spiro-ergometry under maximal exercise load. We recommend frequent follow-up control visits to monitor the subglottic stenosis. Keywords: Asthma, Exercise induced, GPA
- Subjects :
- Diseases of the respiratory system
RC705-779
Subjects
Details
- Language :
- English
- ISSN :
- 22130071
- Volume :
- 24
- Issue :
- 138-142
- Database :
- Directory of Open Access Journals
- Journal :
- Respiratory Medicine Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.7a16dcc956474b08aab2d52d025574c7
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.rmcr.2018.05.015