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Abstract
Case Report
A case in which the cause of asthma symptoms with poor treatment response was identified as esophageal achalasia
Kuniaki Hiraia,b Naruhito Odaa Tetsu Gotoc Masahiko Murakamic Hironori Sagarab
aDivision of Respiratory Medicine, Department of Medicine, Yamanashi Red Cross Hospital
bDivision of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine
cDepartment of Gastroenterological and General Surgery, Showa University School of Medicine
ABSTRACT
A 17-year-old boy who suffered from wheeze and chronic cough visited a clinic and was diagnosed as having bronchial asthma. He was treated with a combination preparation of inhaled corticosteroid and long-acting β2 agonist for a year. However, there was no response to these treatments, and he was then referred to the Yamanashi Red Cross Hospital. Organic airway narrowing was suspected from the results of a chest X-ray and spirometry. He was diagnosed as esophageal achalasia. After surgical operation, the wheeze and chronic cough associated with airway obstruction were completely improved. Esophageal achalasia can cause respiratory signs. Therefore, we should remember this disorder when we examine a patient with respiratory symptoms refractory to the medications.
KEYWORDS
Esophageal achalasia Bronchial asthma Chronic cough Wheeze Lung function test
Received 6 Feb 2016 ／ Accepted 20 Jun 2016
AJRS, 5(5): 279-283, 2016
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