Vocal cord dysfunction: Beyond severe asthma

Parsons, Jonathan P.; Benninger, Cathy; Hawley, Miles P.; Philips, Gary; Forrest, L. Arick; Mastronarde, John G.

doi:10.1016/j.rmed.2009.11.004

Cited by 50 publications

(37 citation statements)

References 12 publications

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“…If more physicians who manage asthma patients were aware of the potential, the number of video laryngeal stroboscopy examinations would increase dramatically, and one of the more common confounding diagnoses would be specifically approached. 5 …”

Section: Is There Vocal Cord Dysfunction?mentioning

confidence: 99%

Considerations in difficult‐to‐control asthma

Lanier

Tierce

2015

Int Forum Allergy Rhinol

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Section: Is There Vocal Cord Dysfunction?mentioning

confidence: 99%

Considerations in difficult‐to‐control asthma

Lanier

Tierce

2015

Int Forum Allergy Rhinol

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“…As laryngeal disorders are frequently misclassified as asthma, these are the focus of this paragraph. Abnormalities in the tracheal area leading to inspiratory obstruction are frequently found both among subjects with asthma [59,60] and in elite athletes [59]. In a study of elite athletes more than half of those diagnosed with EIA had double disease with both EIA and EIL [59].…”

Section: Laryngeal Problems During Exercisementioning

confidence: 99%

Asthma in elite athletes

Elers

Pedersen

Backer

2011

Expert Review of Respiratory Medicine

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Asthma is frequently found among elite athletes performing endurance sports such as swimming, rowing and cross-country skiing. Although these athletes often report symptoms while exercising, they seldom have symptoms at rest. Moreover, compared with nonathletic asthmatic individuals, elite athletes have been shown to have a different distribution of airway inflammation and unequal response to bronchial provocative test. Elite athletes display signs of exercise-induced symptoms, for example, nonasthmatic inspiratory wheeze, vocal cord dysfunction and cardiac arrhythmias, which could limit their physical capacity. Elite athletes should undergo comprehensive assessment to confirm an asthma diagnosis and determine its degree of severity. Treatment should be as for any other asthmatic individual, including the use of β2-agonist, inhaled steroid as well as leukotriene-antagonist. It should, however, be noted that daily use of β-agonists could expose elite athletes to the risk of developing tolerance towards these drugs. Use of β2-agonist should be replaced with daily inhaled corticosteroid treatment, the most important treatment of exercise-induced asthma. All physicians treating asthma should be aware of the doping aspects. Systemic β2-agonist intake is strictly prohibited, whereas inhaled treatment is allowed in therapeutic doses when asthma is documented and dispensation has been granted when needed.

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“…The frequency of inspiratory trouble during exercise varies from low to high among the asthmatic subjects examined [24][25][26]. Laryngeal obstruction is frequently found among athletes.…”

Section: Not All Who Wheeze Have Asthmamentioning

confidence: 99%

“…Additionally, asthma medication is on the doping list; accordingly, those athletes with only laryngeal obstruction could be taking a prohibited medication, highlighting the importance of making the correct diagnosis before treatment begins. Lastly, comorbidity with exercise-induced laryngeal obstruction and gastro-oesophageal refl ux is also frequently seen [26], indicating that treatment of the refl ux might reduce laryngeal symptoms.…”

Section: Not All Who Wheeze Have Asthmamentioning

confidence: 99%

“…Recently, PARSONS et al [26] examined a group of asthmatic subjects with asthma in Global Initiative for Asthma treatment steps 1-4 who also had classic VCD symptoms. They demonstrated that there is no specifi c severity of asthma associated with laryngeal obstruction, but that persistent asthma symptoms resulted in unnecessary adjustment of asthma medication.…”

Section: Not All Who Wheeze Have Asthmamentioning

confidence: 99%

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Not all who wheeze have asthma

Backer

2010

breathe

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Educational aimsExercise-induced asthma is frequently found among children, adolescents and young adults.The diagnosis of asthma should be documented by variable lung function, airway hyperresponsiveness and inflammation.Not all people who report exercise-induced respiratory symptoms have asthma.SummaryAsthma is characterised by respiratory symptoms such as shortness of breath and wheezing, and by exercise-induced symptoms. People with asthma frequently report symptoms during exercise; 90% of these people have exercise-induced asthma (EIA). Nevertheless, exercise-induced symptoms may mask other conditions or diseases, for instance poor physical fitness, exercise-induced laryngeal obstruction, hyperventilation and cardiomyopathy. Asthma symptoms should be documented and patients treated accordingly. With non-asthmatic exercise-induced symptoms, diseases in the laryngeal area are highly likely and patients should be examined while running. Although treatment options for laryngeal dysfunctions are limited, patients feel more in control when they know what is happening in their throat.

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Vocal cord dysfunction: Beyond severe asthma

Cited by 50 publications

References 12 publications

Considerations in difficult‐to‐control asthma

Considerations in difficult‐to‐control asthma

Asthma in elite athletes

Not all who wheeze have asthma

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