An unusual progressive stridor. Issue 2 (June 2020)

• Record Type: Journal Article
• Authors: Apraxine, Matveï; Mineur, Philippe; Huet, Jean; Beniuga, Gabriela; Colinet, Benoit
• Is Part Of: Breathe. Volume 16:Issue 2(2020)
• Publication Date: 2020-06
• Subjects: Respiratory organs -- Diseases; Respiratory organs -- Diseases -- Treatment; Periodicals; 616.2005
• DOI: 10.1183/20734735.0006-2020
• Languages: English
• ISSNs: 1810-6838

Abstract

A 71-year-old man came to our pulmonary consultation with 6 weeks of progressive dyspnoea, hoarseness and, more recently, stridor. His past medical history included colorectal cancer treated with surgery and adjuvant chemotherapy, and type 2 diabetes mellitus. Prior to our consultation, his general practitioner had already ordered a chest computed tomography (CT) scan. The patient had undergone this CT scan 3 days before the consultation and it did not reveal any abnormalities. A flow–volume curve with a flattening of the inspiratory and expiratory limb suggests a proximal obstruction of the upper airways. Plasma cell neoplasms need to be considered in the differential diagnosis of an invasion of the upper respiratory tract. https://bit.ly/2K9lOXj