Asma potencialmente fatal y disfunción de cuerdas vocales en paciente con estrés psicosocial como posible desencadenante de crisis asmáticas

Juan Sebastián Molina, MD.; Alirio Rodríguez Bastidas, MD., MSc; Amanda Doblado, TR.; Sandra Toro Herrera, MD.; Luis Fernando Giraldo, MD., PhD.

doi:10.30789/rcneumologia.v26.n1.2014.58

Potentially fatal asthma and vocal chord dysfunction in a patient with psychosocial stress as possible trigger for asthma crises

Asma potencialmente fatal y disfunción de cuerdas vocales en paciente con estrés psicosocial como posible desencadenante de crisis asmáticas

Published 2014-03-30

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Vol. 26 No. 1 (2014)

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Presentación de casos

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Potentially fatal asthma and vocal chord dysfunction in a patient with psychosocial stress as possible trigger for asthma crises.

rev. colomb. neumol. [Internet]. 2014 Mar. 30 [cited 2024 Dec. 4];26(1). Disponible en: https://doi.org/10.30789/rcneumologia.v26.n1.2014.58

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https://doi.org/10.30789/rcneumologia.v26.n1.2014.58

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Juan Sebastián Molina, MD.

Clínica Universidad de La Sabana, Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Alirio Rodríguez Bastidas, MD., MSc

Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Amanda Doblado, TR.

Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Sandra Toro Herrera, MD.

Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Luis Fernando Giraldo, MD., PhD.

Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia.

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Juan Sebastián Molina, MD.,

Médico Interno, Servicio de Neumología, Clínica Universidad de La Sabana, Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Alirio Rodríguez Bastidas, MD., MSc,

Internista, Neumólogo, Epidemiólogo Clínico, Servicio de Neumología, Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Amanda Doblado, TR.,

Terapeuta Respiratoria, Especialista en Promoción en Salud y Desarrollo Humano, Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Sandra Toro Herrera, MD.,

Médico Psiquiatra, Servicio de Psiquiatría Clínica Universidad de La Sabana. Chía, Cundinamarca, Colombia.

Luis Fernando Giraldo, MD., PhD.,

Internista, Neumólogo, PhD(c) Investigación Clínica Aplicada. Director área de Investigación, Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia.

asthma

vocal cord paralysis

mental disorders

Psychiatric disorders are a common causes of morbidity in general population and their association with organic diseases, including lung diseases is common. The relationship between mental illness and these diseases can lead to poor adherence to medical treatment, as well as increased use of controller medications and relievers. The case we present here shows the association between lung diseases, in this case near-fatal asthma with vocal cord dysfunction (VCD), where the personal psychosocial component could trigger severe exacerbations with significant morbidity for the patient, deteriorating her life quality and requiring aggressive drug therapy. This is why it is vitally to recognize these stressors in order to initiate an integral therapy, achieving greater adherence and decreased exacerbations, hospitalizations and avoiding escalation therapy.

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