Psychogenic stridor
In the past 20 years, several cases have been reported describing an upper airway obstruction reportedly caused by psychological factors. This paper reviews 48 reported cases of “psychogenic stridor.” Patients with psychogenic stridor usually present to primary care physicians with symptoms of asthm...
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| Veröffentlicht in: | General hospital psychiatry 1994-05, Vol.16 (3), p.213-223 |
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| container_title | General hospital psychiatry |
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| creator | Lacy, Timothy J. McManis, Susan E. |
| description | In the past 20 years, several cases have been reported describing an upper airway obstruction reportedly caused by psychological factors. This paper reviews 48 reported cases of “psychogenic stridor.” Patients with psychogenic stridor usually present to primary care physicians with symptoms of asthma or stridor unresponsive to conventional treatments. Of the 48 cases reviewed, 52% received a diagnosis of conversion disorder. The obstruction was severe enough to cause intubation and tracheostomies in some patients. In addition, many suffered from the unnecessary side effects of corticosteroids. The literature is reviewed and medical and psychiatric differential diagnosis and treatment are discussed. |
| doi_str_mv | 10.1016/0163-8343(94)90104-X |
| format | Article |
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This paper reviews 48 reported cases of “psychogenic stridor.” Patients with psychogenic stridor usually present to primary care physicians with symptoms of asthma or stridor unresponsive to conventional treatments. Of the 48 cases reviewed, 52% received a diagnosis of conversion disorder. The obstruction was severe enough to cause intubation and tracheostomies in some patients. In addition, many suffered from the unnecessary side effects of corticosteroids. 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Psychiatry ; Psychotherapy ; Respiratory Sounds - diagnosis ; Respiratory Sounds - etiology ; Risk Factors ; Somatoform disorders. 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This paper reviews 48 reported cases of “psychogenic stridor.” Patients with psychogenic stridor usually present to primary care physicians with symptoms of asthma or stridor unresponsive to conventional treatments. Of the 48 cases reviewed, 52% received a diagnosis of conversion disorder. The obstruction was severe enough to cause intubation and tracheostomies in some patients. In addition, many suffered from the unnecessary side effects of corticosteroids. The literature is reviewed and medical and psychiatric differential diagnosis and treatment are discussed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Benzodiazepines - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Clinical Protocols</subject><subject>Conversion Disorder - complications</subject><subject>Conversion Disorder - diagnosis</subject><subject>Conversion Disorder - epidemiology</subject><subject>Conversion Disorder - therapy</subject><subject>Decision Trees</subject><subject>Diagnosis, Differential</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Laryngoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Personality</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Respiratory Sounds - diagnosis</subject><subject>Respiratory Sounds - etiology</subject><subject>Risk Factors</subject><subject>Somatoform disorders. Psychosomatics</subject><subject>Speech Therapy</subject><subject>Treatment Outcome</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1LAzEQxYMotVZPXhU8iOhhNdlk83ERpPgFBT0o9BaS7EQj292abIX-9-7apUcPjznM7w3zHkInBF8TTPhNJ5pJyuilYlcKE8yy-Q4aEyloJgRhu2i8RfbRQUpfGOMiL-gIjSTmFEs1Rsevae0-mw-ogztLbQxlEw_RnjdVgqNhTtD7w_3b9CmbvTw-T-9mmWOct5nw1kngpTCiyJWwJQPmbU6sYcawnHvDrbdWYmZzwJ08BkaVdKXy3bs5naCLzd1lbL5XkFq9CMlBVZkamlXSgvNC8qIH2QZ0sUkpgtfLGBYmrjXBuu9C90F1H1Qrpv-60PPOdjrcX9kFlFvTEL7bnw97k5ypfDS1C2mLMcyFYqLDbjcYdF38BIg6uQC1gzJEcK0um_D_H780jXmO</recordid><startdate>19940501</startdate><enddate>19940501</enddate><creator>Lacy, Timothy J.</creator><creator>McManis, Susan E.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940501</creationdate><title>Psychogenic stridor</title><author>Lacy, Timothy J. ; McManis, Susan E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-7fbc8e6d7a75297bd4e4fb21ba4aa426fa6bfbb804b2e0b2ef0e4398cd9f90123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Benzodiazepines - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Clinical Protocols</topic><topic>Conversion Disorder - complications</topic><topic>Conversion Disorder - diagnosis</topic><topic>Conversion Disorder - epidemiology</topic><topic>Conversion Disorder - therapy</topic><topic>Decision Trees</topic><topic>Diagnosis, Differential</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Laryngoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Personality</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy</topic><topic>Respiratory Sounds - diagnosis</topic><topic>Respiratory Sounds - etiology</topic><topic>Risk Factors</topic><topic>Somatoform disorders. Psychosomatics</topic><topic>Speech Therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lacy, Timothy J.</creatorcontrib><creatorcontrib>McManis, Susan E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lacy, Timothy J.</au><au>McManis, Susan E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychogenic stridor</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>1994-05-01</date><risdate>1994</risdate><volume>16</volume><issue>3</issue><spage>213</spage><epage>223</epage><pages>213-223</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><coden>GHPSDB</coden><abstract>In the past 20 years, several cases have been reported describing an upper airway obstruction reportedly caused by psychological factors. This paper reviews 48 reported cases of “psychogenic stridor.” Patients with psychogenic stridor usually present to primary care physicians with symptoms of asthma or stridor unresponsive to conventional treatments. Of the 48 cases reviewed, 52% received a diagnosis of conversion disorder. The obstruction was severe enough to cause intubation and tracheostomies in some patients. In addition, many suffered from the unnecessary side effects of corticosteroids. The literature is reviewed and medical and psychiatric differential diagnosis and treatment are discussed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8063089</pmid><doi>10.1016/0163-8343(94)90104-X</doi><tpages>11</tpages></addata></record> |
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| ispartof | General hospital psychiatry, 1994-05, Vol.16 (3), p.213-223 |
| issn | 0163-8343 1873-7714 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Benzodiazepines - therapeutic use Biological and medical sciences Child Clinical Protocols Conversion Disorder - complications Conversion Disorder - diagnosis Conversion Disorder - epidemiology Conversion Disorder - therapy Decision Trees Diagnosis, Differential Family - psychology Female Humans Laryngoscopy Male Medical sciences Middle Aged Personality Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Respiratory Sounds - diagnosis Respiratory Sounds - etiology Risk Factors Somatoform disorders. Psychosomatics Speech Therapy Treatment Outcome |
| title | Psychogenic stridor |
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