A 34-Year-Old Woman With Hoarseness of Voice and an Abnormal Echocardiogram

Chest. 2019 Jun;155(6):e163-e166. doi: 10.1016/j.chest.2019.01.021.

Abstract

A 34-year-old woman presented for evaluation of several months of a hoarse voice and dyspnea on exertion that progressed over the last 3 years. She had a clinical diagnosis of asthma that had been treated with bronchodilators and inhaled corticosteroids for a few years. She continued to use her inhalers but with minimal symptomatic improvement. The patient was a lifelong nonsmoker with no history of drug abuse. She worked as a college professor and denied any significant environmental exposures or recent travel.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Dyspnea* / diagnosis
  • Dyspnea* / etiology
  • Echocardiography / methods
  • Female
  • Heart Atria / diagnostic imaging
  • Heart Ventricles / diagnostic imaging
  • Hoarseness* / diagnosis
  • Hoarseness* / etiology
  • Humans
  • Laryngoscopy / methods*
  • Lung / diagnostic imaging*
  • Patient Care Management / methods
  • Pulmonary Arterial Hypertension* / complications
  • Pulmonary Arterial Hypertension* / diagnosis
  • Pulmonary Arterial Hypertension* / physiopathology
  • Pulmonary Arterial Hypertension* / therapy
  • Pulmonary Artery / diagnostic imaging
  • Severity of Illness Index
  • Tadalafil / administration & dosage*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Vasodilator Agents / administration & dosage
  • Vocal Cord Paralysis / diagnostic imaging

Substances

  • Vasodilator Agents
  • Tadalafil