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La dyspnée laryngée paroxystique: une manifestation extra-oesophagienne peu connue du reflux gastro-oesophagien [Gastroesophageal reflux: a possible cause of paroxysmal laryngeal dyspnea]

By I. Leuchter, P. Monnier, E. Brossard and V. Schweizer

Abstract

An important number of patients are referred to the ENT specialist because of extraoesophageal manifestations of gastroesophageal reflux. The most alarming symptom is a paroxysmal dyspnea secondary to a laryngospasm. The patients report a laryngeal choking sensation associated to an aphonia. We report three cases of laryngospasm secondary to acid gastric reflux. The diagnosis was made with the clinical history, a laryngeal examination and a 24-hour pH-monitoring enabled us to demonstrate a clear temporal relation between the reflux episodes and the choking episodes. In conclusion, the pharyngo-laryngeal reflux is a possible cause of laryngospasm. In our three patients, a high dose antiacid treatment was efficient to bring a lasting relief of the symptoms

Topics: Adult; Dyspnea, Paroxysmal/etiology; Esophageal pH Monitoring; Female; Gastroesophageal Reflux/diagnosis; Humans; Middle Aged
Year: 2008
OAI identifier: oai:serval.unil.ch:BIB_8166FCE7B1D8
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