© 2004 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
CASE REPORT
Upper airway obstruction masquerading as exercise induced bronchospasm in an elite road cyclist
Correspondence to:
Correspondence to:
Kieran Edward Fallon
Australian Institute of Sport, Sports Medicine, PO Box 176, Belconnen, ACT 2616, Australia; fallonk{at}ausport.gov.au
This case concerns an elite road cyclist who complained of occasional dyspnoea and inspiratory difficulty during intense exercise. Clinical examination was normal and the final diagnosis was vocal cord dysfunction, a paradoxical closure of the vocal cords during inspiration which is highly associated with inspiratory stridor at high rates of ventilation. Awareness by the sports physician of this not uncommon condition is important to avoid misdiagnosis.
Abbreviations: FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; VCD, vocal cord dysfunction
Keywords: exercise induced broncospasm; stridor; vocal cord dysfunction
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Br. J. Sports Med. 2004 38: 421.
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