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Journal Information
Vol. 15. Issue 6.
Pages 1205-1209 (November - December 2009)
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Vol. 15. Issue 6.
Pages 1205-1209 (November - December 2009)
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Falsa asma – A propósito de um caso clínico
Asthma mimic – A clinical case report
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892
Alexandra Bento1, Ana Paula Gonçalves2, Avenida Rainha D. Amélia3
1 Interna do Internato Complementar de Pneumologia
2 Assistente Graduada de Pneumologia
3 Unidade de Saúde Local EPE Guarda, Serviço de Pneumologia, 6300 Guarda
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Resumo

A maioria dos bócios mediastínicos são extensões de bócios cervicais. Geralmente os doentes são do sexo feminino e só muito raramente apresentam sintomas4. As queixas mais frequentemente relatadas são sensação de “massa cervical”, dispneia, disfagia e tosse1.

Os autores relatam o caso de uma doente de 67 anos, que recorreu ao serviço de urgência por queixas de dispneia, desconforto e sensação de aperto cervical anterior. O quadro descrito tinha alguns meses de evolução e havia agravamento na semana prévia. A doente referiu antecedentes de asma brônquica, para a qual estava medicada, mas constatou-se que se tratava de um bócio mergulhante.

Palavras-chave:
Bócio mediastínico
compressão traqueal
asma
Abstract

Most mediastinal goiters are extensions of cervical goiters. Patients are generally female and only occasionally have symptoms4. Patients most commonly complain of a mass-like sensation, dyspnoea, dysphagia and cough1. The authors describe the case of a 67 year-old female who presented at the emergency room with dyspnoea, anterior cervical discomfort and tightness which had onset a few months prior but which had worsened in the last week. The patient cited a history of bronchial asthma, for which she was under medication, but the true diagnosis was mediastinal goiter.

Key-words:
Mediastinal goiter
tracheal compression
asthma
Full text is only aviable in PDF
Bibliografia
[1.]
P.F. Alfred.
Fishman's pulmonary diseases and disorders.
fourth edition, McGrawHill Medical Companies, (2008),
[2.]
B. Fauci, H. Kasper, J.L. Longo.
Harrison's principles of internal medicine.
Seventeenth edition, McGraw-Hill Companies, (2008),
[3.]
Gomes MJM, Sotto-Mayor R. Tratado de Pneumologia da Sociedade Portuguesa de Pneumologia, 2003, Capitulo 117.
[4.]
Spiro S, Albert R, Jett J. Tratado de Neumología, 1.ª ed., Hardcourt 2001, Capitulo 74, secção 18.
[5.]
Melissant, et al.
Lung funtion, CT-scan and X-ray in upper airway obstruction due to thyroid goitre.
Eur Respir J, 7 (1994), pp. 1782-1787
[6.]
F.R.M. Frederico, et al.
Bócio mergulhante – Quando operar?.
Arq Bras Endocrinol Metab, 46 (2002), pp. 708-715
[7.]
Deegan, et al.
Goiter: a cause of obstructive sleep apneoea in euthyroid patients.
Eur Respir J, 10 (1997), pp. 500-502
Copyright © 2009. Sociedade Portuguesa de Pneumologia
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