47 Year Old Patient with Pseudo-Asthma


Bulent Altinsoy1, Nejat Altintas2, Zeynep Sonmez Celik1

  DOI 10.500/omj.2011.17  
1Department of Pulmonary Medicine, Afyon Chest Diseases Hospital, Turkey.
2Department of Pulmonary Medicine, 19 Mayis University. Turkey.

Received: 20 Oct 2010
Accepted: 26 Dec 2010

Address correspondence and reprint request to: Dr. Bulent Altinsoy, Department of Pulmonary Disease, Afyon Chest Disease Hospital, Turkey.
E-mail: balt1907@yahoo.com

How to cite this Article

Altinsoy B, Altinta N, Celik ZS. 47 Year Old Petient with Psuedo-Asthma. OMJ 2011 Jan; 26(1):61-63.

How to cite this URL

Altinsoy B, Altinta N, Celik ZS. 47 Year Old Petient with Psuedo-Asthma. OMJ 2011 Jan; 26(1):61-63. Available from http://www.omjournal.org/fultext_PDF.aspx?DetailsID=67&type=fultext


47- year- old female patient presented in out-patient department in Afyon Chest Disease Hospital with dyspnea, cough and purulent sputum. She has been receiving regular inhaler β-agonist and corticosteroids with the diagnosis of asthma bronchial since childhood. However, the patient had a history of very often upper and lower respiratory tract infections. The patient did not smoke, drink alcohol, or use illicit drugs intravenously. She was currently on asthma medications.

On physical examination, the patient has central cyanosis, pretibial edema and her lung sounds were decreased to auscultation bilaterally with deep inspiration. In cardiac auscultation, the heart sounds were heard at the right of sternum and there was splitting in second heart sound (S2). ECG demonstrated sinus tachycardia, inversion of the P and T wave in lead 1 with loss of R wave progression and p pulmonale.

In routine complete blood test, the patient had a mild leukocytosis 12000 /μL with % 81 neutrophil, C- reactive protein level was 20 mg/dl, erythrocyte sedimentation rate was 56 mm/h. Other parameters were in normal ranges.


What is your diagnosis from the figures?

a. Cystic fibrosis

b. Allergic bronchopulmonary aspergillosis

c. Young syndrome

d. Kartagener syndrome

e. Churg-strauss syndrome