| Sinusitis and chronic progressive exercise-induced cough and dyspnea. | |
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MedLine Citation:
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PMID: 19173793 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present the case of a 47-year-old man with exercise-induced dyspnea, cough, chest tightness, and recalcitrant chronic rhinosinusitis. Evaluation revealed IgE sensitization to grass, tree, and weed pollen, no evidence of obstruction on spirometry, and a negative methacholine challenge. Diagnostic considerations included allergic and nonallergic rhinitis, asthma, aspirin-exacerbated respiratory disease, vocal cord dysfunction, extra-esophageal manifestations of acid reflux, and vasculitits. Further evaluation with sinus imaging, laryngoscopy, ambulatory pharyngeal pH testing, upper endoscopy, and bronchoscopy led to a diagnosis. Key issues surrounding the diagnostic and therapeutic approaches to this patient's condition are reviewed. |
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Authors:
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Adam N Williams; Ronald A Simon; Katharine M Woessner |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Allergy and asthma proceedings : the official journal of regional and state allergy societies Volume: 29 ISSN: 1088-5412 ISO Abbreviation: Allergy Asthma Proc Publication Date: 2008 Nov-Dec |
Date Detail:
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Created Date: 2009-01-28 Completed Date: 2009-03-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9603640 Medline TA: Allergy Asthma Proc Country: United States |
Other Details:
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Languages: eng Pagination: 669-75 Citation Subset: IM |
Affiliation:
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Division of Allergy, Asthma, and Immunology, Scripps Clinic, San Diego, CA 92131, USA. a.williams@bmctotalcare.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Chronic Disease Cough / diagnosis*, etiology, immunology, therapy* Diagnosis, Differential Dyspnea / diagnosis*, etiology, immunology, therapy* Exercise Humans Immunoglobulin E / blood Male Middle Aged Sinusitis / complications, diagnosis*, immunology, therapy* |
| Chemical | |
Reg. No./Substance:
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37341-29-0/Immunoglobulin E |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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