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Vol. 15. Issue 6.
Pages 1205-1209 (November - December 2009)
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Vol. 15. Issue 6.
Pages 1205-1209 (November - December 2009)
Caso Clínico/Case Report
Open Access
Falsa asma – A propósito de um caso clínico
Asthma mimic – A clinical case report
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Alexandra Bento1,
Corresponding author
alexitbento@gmail.com

Unidade de Saúde Local EPE Guarda Serviço de Pneumologia Avenida Rainha D. Amélia 6300 Guarda.
, Ana Paula Gonçalves2
1 Interna do Internato Complementar de Pneumologia.
2 Assistente Graduada de Pneumologia
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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.

Rev Port Pneumol 2009; XV (6): 1205-1209

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.

Rev Port Pneumol 2009; XV (6): 1205-1209

Key-words:
Mediastinal goiter
tracheal compression
asthma
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Bibliografia
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Fishman’s pulmonary diseases and disorders, fourth edition, McGrawHill Medical Companies, (2008), pp. 1532-1534
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[3.]
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Tratado de Pneumologia da Sociedade Portuguesa de Pneumologia, (2003),
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Tratado de Neumología.
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Lung funtion, CT-scan and X-ray in upper airway obstruction due to thyroid goitre.
Eur Respir J, 7 (1994), pp. 1782-1787
[6.]
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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/SPP
Pulmonology
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