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Inducible laryngeal obstruction : an official joint European Respiratory Society and European Laryngological Society statement

Halvorsen, Thomas (author)
Haukeland Hosp, Dept Pediat, N-5021 Bergen, Norway.;Univ Bergen, Dept Clin Sci, Bergen, Norway.
Walsted, Emil Schwarz (author)
Royal Brompton Hosp, Dept Resp Med, London, England.;Bispebjerg Hosp, Resp Res Unit, Copenhagen, Denmark.
Bucca, Caterina (author)
Univ Turin, Dept Med Sci, Turin, Italy.;Citta Salute & Sci, Resp Unit, Turin, Italy.
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Bush, Andrew (author)
Imperial Coll, Paediat Resp Med, London, England.;Royal Brompton Hosp, London, England.
Cantarella, Giovanna (author)
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Otolaryngol, Milan, Italy.
Friedrich, Gerhard (author)
Med Univ Graz, ENT Hosp Graz, Dept Phoniatr Speech & Swallowing, Graz, Austria.
Herth, Felix J. F. (author)
Heidelberg Univ, Dept Pneumol & Crit Care Med, Translat Lung Res Ctr Heidelberg, Thoraxklin, Heidelberg, Germany.
Hull, James H. (author)
Royal Brompton Hosp, Dept Resp Med, London, England.
Jung, Harald (author)
Hochgebirgsklin Davos, Davos, Switzerland.
Maat, Robert (author)
Ropcke Zweers Hosp, Dept Otorhinolaryngol, Hardenberg, Netherlands.
Nordang, Leif (author)
Uppsala universitet,Öron-, näs- och halssjukdomar
Remacle, Marc (author)
Louvain Univ Hosp Mt Godinne, Dept ORL Head & Neck Surg, Yvoir, Belgium.
Rasmussen, Niels (author)
Rigshosp, Dept Otolaryngol Head & Neck Surg, Copenhagen, Denmark.;Univ Copenhagen, Copenhagen, Denmark.
Wilson, Janet A. (author)
Newcastle Univ, Dept Otolaryngol Head & Neck Surg, Newcastle Upon Tyne, Tyne & Wear, England.;Freeman Rd Hosp, Newcastle Upon Tyne, Tyne & Wear, England.
Heimdal, John-Helge (author)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Surg, Bergen, Norway.
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Haukeland Hosp, Dept Pediat, N-5021 Bergen, Norway;Univ Bergen, Dept Clin Sci, Bergen, Norway. Royal Brompton Hosp, Dept Resp Med, London, England.;Bispebjerg Hosp, Resp Res Unit, Copenhagen, Denmark. (creator_code:org_t)
2017-09-09
2017
English.
In: European Respiratory Journal. - : EUROPEAN RESPIRATORY SOC JOURNALS LTD. - 0903-1936 .- 1399-3003. ; 50:3
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Inducible laryngeal obstruction (ILO) describes an inappropriate, transient, reversible narrowing of the larynx in response to external triggers. ILO is an important cause of a variety of respiratory symptoms and can mimic asthma. Current understanding of ILO has been hampered by imprecise nomenclature and variable approaches to assessment and management. A task force of the European Respiratory Society (ERS) and European Laryngological Society (ELS) was thus set up to address this, and to identify research priorities. A literature search identified relevant articles published until June 2016, using all identifiable terms for ILO, although including only articles using laryngoscopy. In total, 172 out of 252 articles met the inclusion criteria, summarised in sections on diagnostic approach, aetiology, comorbidities, epidemiology and treatment. The consensus taxonomy published by ERS, ELS and the American College of Chest Physicians (ACCP) in 2015 is used throughout this statement. We highlight the high prevalence of ILO and the clinical impact for those affected. Despite recent advances, most aspects of this condition unfortunately remain incompletely understood, precluding firm guidance. Specifically, validated diagnostic and treatment algorithms are yet to be established, and no randomised control studies were identified in this search; hence we also make recommendations for future research.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

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