Upper airway obstruction presenting as exercise-induced asthma

Chest. 1984 Sep;86(3):499-501. doi: 10.1378/chest.86.3.499.


A patient presented with a ten-year history of exercise-induced wheezing. After trials of metaproterenol and cromolyn failed to improve her symptoms, she was observed during exercise. She proved to have inspiratory stridor caused by collapse of the posterior aryepiglottic folds over the vocal cords during inspiration only following exercise. Symptoms primarily improved with physical conditioning. Further improvement came after treatment of her chronic rhinitis and post-nasal drip with a steroid nasal spray.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Airway Obstruction / diagnosis*
  • Asthma / diagnosis*
  • Asthma, Exercise-Induced / diagnosis*
  • Asthma, Exercise-Induced / pathology
  • Diagnosis, Differential
  • Female
  • Humans
  • Laryngoscopy
  • Lung Volume Measurements
  • Physical Exertion
  • Pulmonary Ventilation
  • Respiratory Sounds