Caso Clínico/Clinical Case
Acalasia do esófago: Diagnóstico diferencial de asma brônquica
Oesophagus achalasia: Differencial diagnosis of asthma
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A. Vila Nova de Famalicão, Portugal" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia, Serviço de Pneumologia, Hospital São João de Deus, S. A. Vila Nova de Famalicão, Portugal" "etiqueta" => "2" "identificador" => "af0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Oesophagus achalasia: Differencial diagnosis of asthma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-12-22" "fechaAceptado" => "2007-10-23" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570420" "palabras" => array:4 [ 0 => "Obstrução da via aérea" 1 => "acalasia do esófago" 2 => "asma brônquica" 3 => "espirometria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570419" "palabras" => array:3 [ 0 => "Airway obstruction" 1 => "achalasia" 2 => "asthma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O megaesófago secundário à acalasia é uma causa rara, porém potencialmente fatal de obstrução da via aérea. A etiologia permanece pouco esclarecida. O quadro clínico habitual consiste em disfagia, regurgitação, emagrecimento progressivo, sendo que em alguns casos a distensão esofágica pode ser assintomática e em raros casos os doentes apresentam como queixa principal estridor e dificuldade respiratória.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam um caso clínico de uma jovem de 19 anos, com tosse, dispneia e dificuldade respiratória, em tratamento para asma brônquica. Devido a persistência da sintomatologia, foi efectuado novo estudo da função respiratória, compatível com obstrução intratorácica. A esofagomanometria confirmou o diagnóstico de volumosa acalasia do esófago.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Após a correcção cirúrgica, a sintomatologia desapareceu e houve uma melhoria significativa das provas funcionais respiratórias posteriormente realizadas. A acalasia do esófago deveria ser considerada como um dos diagnósticos diferencias de obstrução da via aérea.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIV (2): 309-313</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Megaoesophagus resulting from achalasia is a rare but serious cause of airway obstruction. The exact aetiology remains unclear.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Achalasia normally presents as weight loss, dysphasia and regurgitation but frequently considerable oesophageal distension can occur without complain and very rarely cause of achalasia presents with stridor or respiratory distress.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">The authors presents a 19-year old young lady who had respiratory symptoms and had been treated as a cause of chronic asthma, was found by us to have oesophagus achalasia. She had complained of cough, dispneia and had a pulmonary function studies that showed a severe airway obstruction.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">After surgery the symptoms disappeared and she had a marked improvement in the flow-volume curve.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Oesophagus achalasia should be considered as one of the differential diagnoses of airway obstruction.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIV (2): 309-313</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Achalasia presentig as acute stridor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.P. Dunlop" 1 => "S.P. Travis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Gastroenterol Hepatol" "fecha" => "1997" "volumen" => "9" "paginaInicial" => "1125" "paginaFinal" => "1128" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9431907" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rapidly development airway obstruction resulting from achalasia of the oesophagus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute airway obstruction in achalasia of the oesophagus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Dominguez" 1 => "F. Hernandez Ranz" 2 => "D. Boixeda" 3 => "P. Valdazo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Gastroenterology" "fecha" => "1987" "volumen" => "82" "paginaInicial" => "362" "paginaFinal" => "364" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute upper airway obstruction in a patient with achalasia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Turkot" 1 => "B. Golzman" 2 => "J. Koganm" 3 => "S. Oren" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Emerg Med" "fecha" => "1997" "volumen" => "29" "paginaInicial" => "687" "paginaFinal" => "689" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9140255" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory failure as presentation of achalasia of the oesophagus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.P. Kendall" 1 => "E. Lin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Anaestesia" "fecha" => "1991" "volumen" => "46" "paginaInicial" => "1039" "paginaFinal" => "1040" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." 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Curley" 2 => "C.L. French" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/141.3.640" "Revista" => array:5 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1990" "volumen" => "141" "paginaInicial" => "640" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2178528" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001400000002/v1_201509151520/S0873215915302403/v1_201509151520/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43360" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos Clínicos/Cases Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000002/v1_201509151520/S0873215915302403/v1_201509151520/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302403?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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