Every wheeze does not merit a puffer! Case of an overnight cure of chronic asthma.
The peril of incorrect diagnostic labelling is highlighted by this case of acute respiratory distress caused by a retrosternal recurrent goitre. An initial clinical diagnosis which cannot be fully validated on investigation with unexpected or poor response to treatment should prompt consideration and investigation for an alternative explanation.
Balakrishnan
Santosh
S
Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Greater London, BR6 8ND, UK.
Doddi
Sudeendra
S
Helme
Sophie
S
Sinha
Prakash
P