Exercise-induced laryngochalasia: an imitator of exercise-induced bronchospasm

Authors: Björnsdóttir, Unnur S.1; Gudmundsson, Kristjan; Hjartarson, Hannes; Bröndbo, Kjell; Magnússon, Björn; Juliusson, Sigurdur2

Source: Annals of Allergy, Asthma and Immunology, Volume 85, Number 5, November 2000 , pp. 387-391(5)

Publisher: American College of Allergy, Asthma, & Immunology

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Abstract:

Background: Patients with exercise-induced laryngochalasia present with dyspnea and stridor during exercise. Symptoms are due to a subtotal occlusion of the larynx resulting from mucosal edema from the aryepiglottic folds being drawn into the endolarynx.

Methods: We report on three patients with exercise-induced bronchospasm, refractory to standard therapy.

Results: Spirometry with flow-volume loops revealed truncation of the inspiratory limb. Abnormal movement of the arytenoid region was visualized on laryngoscopy. A diagnosis of exercise-induced laryngochalasia was made.

Conclusions: Evaluation of laryngeal motion in patients with refractory exercise-induced bronchospasm is important. Surgical correction with laser laryngoplasty is effective in carefully selected cases.

Document Type: Original article

Affiliations: 1: University Hospital, Reykjavik, Iceland; † Municipal Hospital, Reykjavik, Iceland; ‡ The National Hospital University of Oslo, Norway; and § Icelandic Rehabilitation Center, Reykjalundur, Iceland. 2: University Hospital, Reykjavik, Iceland; † Municipal Hospital, Reykjavik, Iceland; ‡ The National Hospital University of Oslo, Norway; and § Icelandic Rehabilitation Center, Reykjalundur, Iceland.

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