Academic Commons

Articles

Asthma-like symptoms: is it always a pulmonary issue?

Piloni, Davide; Tirelli, Claudio; Domenica, Rita D.; Conio, Valentina; Grosso, Amelia; Ronzoni, Vanessa; Antonacci, Filippo; Totaro, Pasquale; Corsico, Angelo G.

Background
Double aortic arch is a rare congenital and complete vascular ring around trachea and esophagus. It is usually diagnosed during infancy. The symptoms are generally related to respiratory and gastroesophageal tracts.


Case presentation
A 20-year-old female patient was referred to our outpatient clinic for persistent dry cough. She had a history of an episode of inhalation of food bolus as an infant and recurrent bronchitis, anorexia and allergic bronchial asthma since the childhood. Since the beginning, an intrathoracic obstruction was suspected at pulmonary function tests. After 1 month of complete asthma treatment, the cough was unchanged and the spirometry confirmed the presence of an intrathoracic obstruction. Then, she underwent a chest CT with contrast medium, a contrast transthoracic echocardiography, a fiberbronchoscopy and an esophageal radiography with contrast medium. The final diagnosis was made and a double aortic arch was found.


Conclusion
A careful observation of the flow/volume curve should always be guaranteed and the presence of congenital vascular anomalies should be suspected in case of difficult-to-treat asthma.

Files

  • thumnail for 40248_2018_Article_136.pdf 40248_2018_Article_136.pdf application/pdf 675 KB Download File

Also Published In

Title
Multidisciplinary Respiratory Medicine
DOI
https://doi.org/10.1186/s40248-018-0136-5

More About This Work

Academic Units
Surgery
Published Here
October 1, 2018

Notes

Double aortic arch, Central airway, Spirometry, Persistent cough