Vocal Cord Dysfunction Related to Water-Damaged Buildings

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Presentation transcript:

Vocal Cord Dysfunction Related to Water-Damaged Buildings Kristin J. Cummings, MD, MPH, Jordan N. Fink, MD, Monica Vasudev, MD, Chris Piacitelli, MS, CIH, Kathleen Kreiss, MD The Journal of Allergy and Clinical Immunology: In Practice Volume 1, Issue 1, Pages 46-50 (January 2013) DOI: 10.1016/j.jaip.2012.10.001 Copyright © 2013 Terms and Conditions

Figure 1 Flow-volume loops during methacholine challenge. A, Early in testing (after a 0.025-mg/mL dose in Case 1; before first dose in Case 2), the flow-volume loop appeared normal; the patient was asymptomatic. B, Late in testing (after a 25-mg/mL dose in Case 1; after a 10-mg/mL dose in Case 2), the flow-volume loop showed late inspiratory obstruction; the patient was symptomatic. The Journal of Allergy and Clinical Immunology: In Practice 2013 1, 46-50DOI: (10.1016/j.jaip.2012.10.001) Copyright © 2013 Terms and Conditions

Figure 2 Images from laryngoscopy in Case 2. Laryngoscopy was performed immediately after methacholine challenge had induced cough. Images captured after high-pitched humming show vocal cord abduction during expiration (left) and paradoxical vocal cord adduction during inspiration (right). The Journal of Allergy and Clinical Immunology: In Practice 2013 1, 46-50DOI: (10.1016/j.jaip.2012.10.001) Copyright © 2013 Terms and Conditions