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Case Reports in Medicine
Volume 2010, Article ID 498372, 2 pages
Case Report

Every Wheeze Does Not Merit a Puffer! Case of an Overnight Cure of Chronic Asthma

Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Greater London, BR6 8ND, UK

Received 28 January 2010; Revised 15 April 2010; Accepted 15 June 2010

Academic Editor: Joaquim Mullol

Copyright © 2010 Santosh Balakrishnan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The peril of incorrect diagnostic labelling is highlighted by this case of acute respiratory distress caused by a retrosternal recurrent goitre. An initial clinical diagnosis which cannot be fully validated on investigation with unexpected or poor response to treatment should prompt consideration and investigation for an alternative explanation.