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American Academy of Pediatrics
Experience and Reason

Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents

Lawrence P. Landwehr, Raymond P. Wood, Florence B. Blager and Henry Milgrom
Pediatrics November 1996, 98 (5) 971-974;
Lawrence P. Landwehr
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Raymond P. Wood II
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Florence B. Blager
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Henry Milgrom
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Abstract

Vocal cord dysfunction (VCD) is a condition defined by an abnormal adduction of the vocal cords. The signs and symptoms of VCD-throat tightness, change in voice quality and airflow obstruction sufficient to cause wheezing, chest tightness, shortness of breath, and cough-are commonly associated with exercise. VCD and exercise-induced bronchospasm (EIB), the term for exacerbation of asthma associated with physical exertion, are both aggravated by exercise and characterized by dyspnea. The clinical presentation of VCD is often dramatic and its misdiagnosis as asthma, EIB, or upper airway obstruction has led to inappropriate treatment including highdose corticosteroids, intubation, and tracheostomy.1 The diagnosis of VCD is best established by observing the vocal cords through a fiberoptic rhinolaryngoscope while the patient is symptomatic.2,3

  • Received November 9, 1995.
  • Accepted December 21, 1995.
  • Copyright © 1996 by the American Academy of Pediatrics

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Pediatrics
Vol. 98, Issue 5
1 Nov 1996
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Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents
Lawrence P. Landwehr, Raymond P. Wood, Florence B. Blager, Henry Milgrom
Pediatrics Nov 1996, 98 (5) 971-974;

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Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents
Lawrence P. Landwehr, Raymond P. Wood, Florence B. Blager, Henry Milgrom
Pediatrics Nov 1996, 98 (5) 971-974;
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  • Inducible laryngeal obstruction: an official joint European Respiratory Society and European Laryngological Society statement
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  • ERS/ELS/ACCP 2013 international consensus conference nomenclature on inducible laryngeal obstructions
  • Pediatric Paradoxical Vocal-Fold Motion: Presentation and Natural History
  • Asthma in adolescent athletes
  • The breathless adolescent asthmatic athlete
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  • Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents
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