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Chest clinic
Images in Thorax
Rare adult presentation of fixed airways obstruction: remember aortic arch abnormalities
  1. Juwhan Choi,
  2. Kyung Hoon Min,
  3. Sung Yong Lee,
  4. Kyung Ho Kang,
  5. Jae Jeong Shim
  1. Department of Internal Medicine, Division of Respiratory, Allergy and Critical Care Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Guro-gu, Republic of Korea
  1. Correspondence to Dr Jae Jeong Shim, Department of Internal Medicine, Division of Respiratory and Critical Care Medicine, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Seoul, Guro-gu 08308, Republic of Korea; jaejshim{at}kumc.or.kr

https://doi.org/10.1136/thoraxjnl-2017-210525

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    A 47-year-old woman with a history of chronic cough presented with dyspnoea. She had no history of smoking, tuberculosis and cardiovascular disease. Physical examination revealed wheezing in both lungs. We started maintenance and reliever therapy for suggested bronchial asthma. However, symptoms did not improve, and she was hospitalised repeatedly. Chest X-ray showed a right-sided aortic arch. In the pulmonary function test, a fixed obstruction pattern was observed, and a bronchodilator response …

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    Footnotes

    • JC and JJS contributed equally.

    • Contributors Study concept and design: JC and JJS. Acquisition, analysis or interpretation of data, critical revision of the manuscript for important intellectual content and study supervision: all authors. Drafting of the manuscript : JC and JJS.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.