A 41-Year-Old Male with Cough, Wheeze, and Dyspnea Poorly Responsive to Asthma Therapy

Document Type

Article

Publication Date

7-1-2010

Abstract

Reactive airway disease is often triggered by an upper respiratory viral infection and readily responds to anti-inflammatory and bronchodilator therapy. The differential diagnosis for unresponsive disease includes poorly controlled asthma, noncompliance with medical regimen, vocal cord dysfunction, rhinosinusitis, gastroesophageal reflux disease or recurrent aspiration, foreign body aspiration, allergic bronchopulmonary aspergillosis, Churg-Strauss vasculitis, cardiac disorders such as congestive heart failure or mitral stenosis, or other pulmonary disorders such as chronic obstructive pulmonary disease, alpha-1 antitrypsin deficiency, interstitial lung disease, bronchiectasis, sarcoidosis, hypersensitivity pneumonitis, pulmonary embolism, cystic fibrosis, airway neoplasms, or laryngotracheomalacia. As is often the case, a meticulous history can expeditiously direct the clinician to the diagnosis, especially in a patient without a smoking, asthmatic, or atopic history.

Publication Title

Allergy and Asthma Proceedings

Volume

31

Issue

4

First Page

355

Last Page

358

PubMed ID

20819328

Comments

This article was published in Allergy and Asthma Proceedings, Volume 31, Issue 4, July-August 2010, Pages 355-358.

The published version is available at http://dx.doi.org/10.2500/aap.2010.31.3344

Copyright © 2010 Oceanside Publications, Inc.

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