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'あくび'と胸痛を訴えた気管支喘息の1症例

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  • Yawning associated with anterior chest pain in a patient with asthma.

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Abstract

We present a case of a patient with asthma who developed yawning associated with anterior chest pain. She was admitted due to severe anterior chest pain, wheezing and dyspnea. Although the frequency of the symptoms decreased, she began to experience frequent episodes of yawning at night accompanied by tears. While she experienced yawning, although PEF (peak expiratory flow) decreased, no asthmatic symptoms, such as wheezing or dyspnea were observed. The yawning was improved markedly by bronchodilators and a leukotriene receptor antagonist, and moderately improved by corticosteroids. We speculated that yawning is a clinical manifestation of asthma that responds to treatment.

64歳の女性。1993年2月に高度の前胸部痛,職場,呼吸困難を主訴として入院した。入院後,前胸部痛,喘鳴,呼吸困難は徐々に軽快傾向であったが,夜間流涙を伴う`あくびが頻回に出現するようになった。`あくび'が出現する時には,喘息症状(喘鳴,呼吸困難)は伴わないが,ピークフローに低下を認めた。`あくび'に対する治療としては,気管支拡張剤,ロイコトリエン受容体結抗剤は著効,副腎皮質ステロイド剤は中等度 有効であった。`あくび'は治療に反応する喘息の-症状であることが示唆された。

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