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An Unusual Cause of Acute Hypercapneic Respiratory Failure

By Janice Wang, Astha Chichra and Seth Koenig

Abstract

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure

Topics: Case Report
Publisher: Libertas Academica
OAI identifier: oai:pubmedcentral.nih.gov:3236007
Provided by: PubMed Central

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Citations

  1. Anterior cervical osteophytes causing dysphagia and dyspnea: an uncommon entity revisited.
  2. Anterior cervical osteophytes: a rare cause of dysphagia and upper airway obstruction in older patients.
  3. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine.
  4. (2002). Management of respiratory compromise caused by cervical osteophytes: a case report and review of the literature. The Spine Journal.
  5. (2010). Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes.

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