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The Clinical Picture

Not all wheezing is COPD

Vipul Patel, MD and Nikhil Madan, MD, FCCP
Cleveland Clinic Journal of Medicine March 2021, 88 (3) 147-149; DOI: https://doi.org/10.3949/ccjm.88a.20101
Vipul Patel
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Newark Beth Israel Medical Center, Newark, NJ
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Nikhil Madan
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Newark Beth Israel Medical Center, Newark, NJ
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    Figure 1

    Chest radiography, posteroanterior and lateral views, showed normal findings.

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    Figure 2

    Flow-volume loop showed a decrease in inspiratory and expiratory flow suggestive of fixed extrathoracic airway obstruction.

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    Figure 3

    Tracheal web was seen below the vocal cords on flexible bronchoscopy.

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    Figure 4

    Resection of tracheal web performed with successful endobronchial argon plasma coagulation dilation.

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    TABLE 1

    Results of spirometry

    Reference valuePatient’s valuePercent of predicted
    Forced vital capacity (FVC)3.60 L3.22 L90%
    Forced expiratory volume in 1 second (FEV1)2.83 L0.98 L35%
    FEV1/FVC8030
    Forced expiratory flow 25%–75%2.70 L/sec0.59 L/sec22%
    Peak expiratory flow6.03 L/sec1.22 L/sec20%
    Vital capacity3.60 L3.26 L91%
    Residual volume1.86 L2.06 L111%
    Total lung capacity5.15 L5.32 L103%
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Cleveland Clinic Journal of Medicine: 88 (3)
Cleveland Clinic Journal of Medicine
Vol. 88, Issue 3
1 Mar 2021
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Not all wheezing is COPD
Vipul Patel, Nikhil Madan
Cleveland Clinic Journal of Medicine Mar 2021, 88 (3) 147-149; DOI: 10.3949/ccjm.88a.20101

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Not all wheezing is COPD
Vipul Patel, Nikhil Madan
Cleveland Clinic Journal of Medicine Mar 2021, 88 (3) 147-149; DOI: 10.3949/ccjm.88a.20101
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