Acalasia do esófago: Diagnóstico diferencial de asma brônquica
Oesophagus achalasia: Differencial diagnosis of asthma
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The cognitive-behavior-therapy and the technique of the exercises in the induction of panic disorder symptoms" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Anna Lucia Spear King, Alexandre Martins Valença, António Egídio Nardi, Márcio Versiani" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Anna Lucia" "apellidos" => "Spear King" ] 1 => array:2 [ "nombre" => "Alexandre" "apellidos" => "Martins Valença" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Egídio Nardi" ] 3 => array:2 [ "nombre" => "Márcio" "apellidos" => "Versiani" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702628?idApp=UINPBA00004E" "url" => "/21735115/0000001400000002/v1_201305151451/S2173511508702628/v1_201305151451/pt/main.assets" ] "pt" => array:14 [ "idiomaDefecto" => true "titulo" => "Acalasia do esófago: Diagnóstico diferencial de asma brônquica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "309" "paginaFinal" => "313" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Patrícia Bacellar, Marta Silva, Nélia Tinoco, Francisco Costa, Helena Rodrigues" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Patrícia" "apellidos" => "Bacellar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Marta" "apellidos" => "Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Nélia" "apellidos" => "Tinoco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Francisco" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 4 => array:4 [ "preGrado" => "Dr.ª" "nombre" => "Helena" "apellidos" => "Rodrigues" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Interna Complementar Medicina Interna" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Serviço de Pneumologia/Medicina Interna Hospital São João de Deus, S. A. Vila Nova de Famalicão, Portugal" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] ] "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" => "xpalclavsec159519" "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" => "xpalclavsec159520" "palabras" => array:3 [ 0 => "Airway obstruction" 1 => "achalasia" 2 => "asthma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0050" 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="spar0055" 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="spar0060" class="elsevierStyleSimplePara elsevierViewall">Após a correcção cirúrgica, a sintomatologia desapareceu e houve uma melhoria significativa das provas funcionais respiratórias posteriormente realizadas.</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">A acalasia do esófago deveria ser considerada como um dos diagnósticos diferencias de obstrução da via aérea.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Megaoesophagus resulting from achalasia is a rare but serious cause of airway obstruction. The exact aetiology remains unclear.</p><p id="spar0030" 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="spar0035" 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="spar0040" class="elsevierStyleSimplePara elsevierViewall">After surgery the symptoms disappeared and she had a marked improvement in the flow-volume curve.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Oesophagus achalasia should be considered as one of the differential diagnoses of airway obstruction.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib1" "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. 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ISSN: 21735115Original language: Portuguese
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