2010 Jul 1 - Images in Clinical Medicine: Not All That Wheezes Is Bronchial Asthma

NEJM Volume 363:e1 July 1, 2010 Number 1

A 10-year-old previously healthy girl presented with episodic wheezing, dyspnea, and progressive exercise intolerance, which had developed during the preceding 9 months.

On physical examination, the patient had moderate bilateral expiratory wheezing. She was treated for presumed asthma with multiple courses of inhaled bronchodilators, inhaled corticosteroids, montelukast, and oral corticosteroids. Though the patient reported that her condition had improved somewhat, there was no demonstrable objective improvement. Further evaluation by spirometry revealed severe expiratory obstruction (Panel A). The patient underwent flexible fiberoptic bronchoscopy, which revealed nearly complete (>90%) occlusion of the distal trachea by a vascular mass. Computed tomographic angiography showed . . . [Full Text of this Article]

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Last Updated on Monday, 05 July 2010 18:32

Hong Kong Respiratory Medicine

2010 Jul 1 - Images in Clinical Medicine: Not All That Wheezes Is Bronchial Asthma

2010 Jul 1 - Images in Clinical Medicine: Not All That Wheezes Is Bronchial Asthma

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