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Eur Respir J 1994; 7: 1182-1184
Copyright © ERS Journals Ltd 1994

Case Studies

Severe upper airway obstruction in essential tremor presenting as asthma

JL Izquierdo-Alonso, P Martinez-Martin, MA Juretschke-Moragues, and JA Serrano-Iglesias

A 57 year old man with essential tremor (ET) presented with a 2 year history of paroxysmal attacks of dyspnoea and wheezing. He had been diagnosed as having bronchial asthma, and propanolol was excluded from his treatment. Flow-volume loops showed abrupt changes in maximum flows, with poor reproducibility. A diagnosis of functional upper airway obstruction was confirmed by fibreoptic bronchoscopy. The importance of establishing the precise diagnosis, in order to provide appropriate treatment, is emphasized.




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Copyright © 1994 by the European Respiratory Society.