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Chest, Vol 98, 756-757, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Obligate mouth breathing during exercise. Nasal and laryngeal sarcoidosis

GL Becker, MF Tenholder and KK Hunt
Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5000.

A young black man presented with simultaneous nasal and laryngeal sarcoidosis, each uncommon entities. Despite severe upper airway obstruction and emergent tracheostomy, there was an uncharacteristic rapid response to oral steroids alone. The patient's predominant initial complaint of early mouth breathing during routine army physical training demonstrates a symptom complex and an alternate mechanism of dyspnea to consider in sarcoidosis.


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