JOURNAL ARTICLE
REVIEW

[Vocal Cord Dysfunction—what do we really know? A review]

K Kenn
Pneumologie 2007, 61 (7): 431-9
17447211
Vocal Cord Dysfunction (VCD), intermittent dyspnoea attacks caused by episodic paradoxical adduction of the vocal cords, plays an important role in the differential diagnosis of so called intractable or difficult to control bronchial asthma. The clinical symptoms may mimic asthma, resulting in high dose medications that often lead to considerable iatrogenic induced morbidity e. g. high dose systemic corticosteriods. In most cases VCD cannot be demonstrated using common diagnostic methods, due to self-limiting symptoms of less than one to two minutes. A typical VCD-patient presents with seemingly life-threatening dyspnoea with negative diagnostic results for asthma or other standard airway disorders and lack of improvement with standard medications. The frustrating clinical course can induce significant psychiatric disorders such as anxiety and panic attacks in VCD-patients. Increased knowledge of the characteristic clinical symptoms of vocal cord dysfunction can help physicians identify the correct diagnosis even without further testing. VCD should be seen as a challenge to every pulmonologists. Early diagnosis prevents prolonged clinical courses including negative effects due to medication as well as economical consequences. The aim of this paper is to present and to discuss the current understandings of the clinical and pathophysiological aspects of this disease.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
17447211
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"