| Vocal cord dysfunction: the importance of psychologic factors and provocation challenge testing. | |
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MedLine Citation:
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PMID: 3571766 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present three case reports involving patients with vocal cord dysfunction. The onset of symptoms in one case was coincident with a generalized cutaneous reaction to penicillin with laryngeal involvement. The other cases had been misdiagnosed as food allergy and chemical sensitivity. We describe the psychologic factors in these cases in terms of the primary and secondary gain operative in the somatoform disorder of conversion reaction and emphasize the importance of belief and learned sensitivity in the induction of symptoms. The necessity of considering psychologic factors and the use of blinded, controlled, provocation challenges to evaluate subjective symptomatology is underscored. This study emphasizes the heterogenicity of clinical presentations involving vocal cord dysfunction and illustrates the value of fiberoptic-assisted examination of laryngeal function in conjunction with provocation challenge testing in establishing causal relationships for specific clinical symptoms. |
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Authors:
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J C Selner; H Staudenmayer; J W Koepke; R Harvey; K Christopher |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of allergy and clinical immunology Volume: 79 ISSN: 0091-6749 ISO Abbreviation: J. Allergy Clin. Immunol. Publication Date: 1987 May |
Date Detail:
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Created Date: 1987-06-15 Completed Date: 1987-06-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1275002 Medline TA: J Allergy Clin Immunol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 726-33 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Airway Obstruction / etiology Bronchial Provocation Tests Female Humans Laryngeal Diseases / complications, physiopathology, psychology Vocal Cords* / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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