Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing?
Paroxysms of dyspnoea in the general population are commonly reported and are frequently assumed to be asthma-related, especially if this diagnostic label has been previously applied. Often, this is not the case. Inducible Laryngeal Obstruction (ILO) and Dysfunctional Breathing (DB) are common comor...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Allergy |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/falgy.2022.1054791/full |
| _version_ | 1828128765563109376 |
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| author | A. L. Crawford J. D. Blakey J. D. Blakey J. D. Blakey K. Baumwol |
| author_facet | A. L. Crawford J. D. Blakey J. D. Blakey J. D. Blakey K. Baumwol |
| author_sort | A. L. Crawford |
| collection | DOAJ |
| description | Paroxysms of dyspnoea in the general population are commonly reported and are frequently assumed to be asthma-related, especially if this diagnostic label has been previously applied. Often, this is not the case. Inducible Laryngeal Obstruction (ILO) and Dysfunctional Breathing (DB) are common comorbid conditions that go unrecognised in many difficult-to-treat asthmatics. On average, these patients have a delay in diagnosis of almost 5 years. This delay, along with ineffective, inappropriate escalation of asthma therapy, frequent hospital presentations for uncontrolled symptoms, and even intensive care admissions, magnifies patient morbidity and poor quality of life. ILO and DB have similar presentations and triggers to asthma. Differentiating between them can be challenging, especially in centres that do not have access to multidisciplinary subspecialty asthma services. Objectively confirming the diagnosis can likewise be challenging as symptoms fluctuate, and gold-standard investigations require extensive experience. This mini-review will summarise the clinical features of ILO and DB, with particular focus in the context of individuals treated for asthma. This narrative review will define each condition, highlight poignant aspects of the history and describe elements of the diagnostic pathway to gain objective confirmation. |
| first_indexed | 2024-04-11T16:09:21Z |
| format | Article |
| id | doaj.art-321e4874305d421c8e90e45634864113 |
| institution | Directory Open Access Journal |
| issn | 2673-6101 |
| language | English |
| last_indexed | 2024-04-11T16:09:21Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Allergy |
| spelling | doaj.art-321e4874305d421c8e90e456348641132022-12-22T04:14:43ZengFrontiers Media S.A.Frontiers in Allergy2673-61012022-11-01310.3389/falgy.2022.10547911054791Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing?A. L. Crawford0J. D. Blakey1J. D. Blakey2J. D. Blakey3K. Baumwol4Department of Respiratory Medicine, and Speech Pathology, Sir Charles Gairdner Hospital, WA, Perth, AustraliaDepartment of Respiratory Medicine, and Speech Pathology, Sir Charles Gairdner Hospital, WA, Perth, AustraliaMedical School, CurtinUniversity Medical School, WA, Perth, AustraliaInternal Medicine, University of Western Australia, WA, Perth, AustraliaDepartment of Respiratory Medicine, and Speech Pathology, Sir Charles Gairdner Hospital, WA, Perth, AustraliaParoxysms of dyspnoea in the general population are commonly reported and are frequently assumed to be asthma-related, especially if this diagnostic label has been previously applied. Often, this is not the case. Inducible Laryngeal Obstruction (ILO) and Dysfunctional Breathing (DB) are common comorbid conditions that go unrecognised in many difficult-to-treat asthmatics. On average, these patients have a delay in diagnosis of almost 5 years. This delay, along with ineffective, inappropriate escalation of asthma therapy, frequent hospital presentations for uncontrolled symptoms, and even intensive care admissions, magnifies patient morbidity and poor quality of life. ILO and DB have similar presentations and triggers to asthma. Differentiating between them can be challenging, especially in centres that do not have access to multidisciplinary subspecialty asthma services. Objectively confirming the diagnosis can likewise be challenging as symptoms fluctuate, and gold-standard investigations require extensive experience. This mini-review will summarise the clinical features of ILO and DB, with particular focus in the context of individuals treated for asthma. This narrative review will define each condition, highlight poignant aspects of the history and describe elements of the diagnostic pathway to gain objective confirmation.https://www.frontiersin.org/articles/10.3389/falgy.2022.1054791/fulldyspnoeaasthmainducible laryngeal obstructionvocal cord dysfunctioncontinuous laryngoscopy in exercisedysfunction breathing |
| spellingShingle | A. L. Crawford J. D. Blakey J. D. Blakey J. D. Blakey K. Baumwol Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? Frontiers in Allergy dyspnoea asthma inducible laryngeal obstruction vocal cord dysfunction continuous laryngoscopy in exercise dysfunction breathing |
| title | Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? |
| title_full | Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? |
| title_fullStr | Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? |
| title_full_unstemmed | Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? |
| title_short | Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing? |
| title_sort | paroxysmal dyspnoea in asthma wheeze ilo or dysfunctional breathing |
| topic | dyspnoea asthma inducible laryngeal obstruction vocal cord dysfunction continuous laryngoscopy in exercise dysfunction breathing |
| url | https://www.frontiersin.org/articles/10.3389/falgy.2022.1054791/full |
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