An Unusual cause of Acute Hypercapneic Respiratory Failure

Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine

Article

Astha Chichra¹  Seth Koenig²  Janice Wang³ 

[1] Internal Medicine Resident, North Shore/Long Island Jewish Medical Center, 410 Lakeville Road, Suite 107, New Hyde Park, NY 11040.;Pulmonary and Critical Care Medicine Faculty, North Shore/Long Island Jewish Medical Center, 410 Lakeville Road, Suite 107, New Hyde Park, NY 11040.;Pulmonary, Critical Care and Sleep Medicine Fellow, North Shore/Long Island Jewish Medical Center, 410 Lakeville Road, Suite 107, New Hyde Park, NY 11040.;

关键词: hypercapneic respiratory failure;    diffuse idiopathic skeletal hyperostosis (DISH);    hypercarbia;    dysphagia and dyspnea;   

DOI  :  10.4137/CCRPM.S7687

来源: Sage Journals

【 摘 要 】

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.

【 授权许可】

CC BY-NC   
© 2011 SAGE Publications.

【 图 表 】

Figure 5.