Unusual Cause of Stridor in an Adult Man, Selective Immunoglobulin A Deficiency

S. Eldaboosy, Amgad Awad, A. Ghoneim
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Abstract

The common causes of stridor in adults are abscesses or swelling of the upper airway, tumors, paralysis, or malfunction of vocal cords. Tracheitis due to immunoglobulin deficiency may be a rare explanation for stridor in adults, although occasionally reported in children. We report an adult man having stridor secondary to isolated immunoglobulin A deficiency. We did an in-depth review of the literature to seek out no reported cases of stridor thanks to immunoglobulin deficiency in adults. This case underlines the very fact that a standard symptom like stridor rarely occurs thanks to uncommon causes. This case is exclusive because it reports the presence of stridor associated with isolated immunoglobulin A deficiency in an adult patient. The explanation for the stridor was an intraluminal narrowing of the upper part of the extrathoracic trachea.
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选择性免疫球蛋白A缺乏症引起成年男性喘鸣的不寻常原因
成人喘鸣的常见原因是上呼吸道脓肿或肿胀、肿瘤、麻痹或声带功能障碍。由于免疫球蛋白缺乏引起的气管炎可能是成人喘鸣的一种罕见的解释,尽管在儿童中偶有报道。我们报告一个成年男子有哮鸣继发于孤立的免疫球蛋白A缺乏症。我们对文献进行了深入的回顾,以寻找成人中由于免疫球蛋白缺乏而引起喘鸣的病例报告。这个病例强调了这样一个事实,即由于不常见的原因,像喘鸣这样的标准症状很少发生。这个病例是排他性的,因为它报告了一个成人患者与孤立的免疫球蛋白A缺乏症相关的喘鸣。对喘鸣的解释是胸外气管上部腔内狭窄。
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