Vocal cord dysfunction during wartime.
Vocal cord dysfunction (VCD) often masquerades as asthma. The diagnosis is rarely suspected, but should be considered in cases of asthma that present atypically or that fail to respond to standard therapy. The frequency of VCD would be expected to increase during times of stress, including periods of war, since it is thought to be a conversion reaction. A high level of suspicion for VCD is essential to make the diagnosis so as to avoid unnecessary, potentially toxic medications and to direct the patient to prompt psychiatric care, which along with speech therapy, is the cornerstone of care.
Craig
T
T
Allergy/Immunology Service, Walter Reed Army Medical Center, Washington, DC 20307.
Sitz
K
K
Squire
E
E
Smith
L
L
Carpenter
G
G
D000328:Adult; D001249:Asthma / Q000175:diagnosis; D001985:Bronchial Provocation Tests; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D008889:Military Personnel; D012135:Respiratory Sounds / Q000209:etiology; D012529:Saudi Arabia; D013313:Stress Disorders, Post-Traumatic / Q000150:complications; D014481:United States; D014827:Vocal Cords; D014857:Warfare