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Not everything that wheezes is asthma

No todo lo que sibila es asma: revisión de tema




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Revisión de tema

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Not everything that wheezes is asthma.
rev. colomb. neumol. [Internet]. 2023 Jun. 1 [cited 2024 Nov. 23];35(1):11-2. Disponible en: https://doi.org/10.30789/rcneumologia.v35.n1.2023.597

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo  los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.

Sara Camila Castiblanco Arroyave
    Estefanie Osorio-Llanes

      Luis Antonio Díaz Ariza,

      29 years old, general practitioner graduated from the Universidad Libre sectional Barranquilla, Atlántico (Colombia).

      Currently completing a residency in Internal Medicine at the same alma mater, the Universidad Libre sectional Barranquilla, Atlántico (Colombia).


      Wheezing is defined as adventitious, continuous and high-tone lung sounds. Predominantly the wheezing is of an expiratory nature, but it can also be inspiratory or biphasic. Its etiology is secondary to flow obstruction in the extrathoracic and intrathoracic upper airway, or lower airway. It is believed that wheezing is due to vibrations of the walls of the occluded airways, induced by a reduced speed of air flow. When wheezing is perceived without inducing forced exhalation, it is necessary to study the cause, perform a medical history directed at the various etiologies and a physical health check that includes complete chest examination: Inspection, palpation, percussion, and auscultation. As diagnostic aids like chest x-ray, pre- and post-bronchodilator spirometry, computed tomography of the chest and bronchoscopy may be necessary. The objective of this article is demonstrate that wheezing represents a challenging clinical finding for the medical doctor and suggests that it is important to consider other causes in addition to Asthma or Chronic Obstructive Pulmonary Disease (COPD).


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