PT - JOURNAL ARTICLE AU - Izquierdo-Alonso, JL AU - Martinez-Martin, P AU - Juretschke-Moragues, MA AU - Serrano-Iglesias, JA TI - Severe upper airway obstruction in essential tremor presenting as asthma AID - 10.1183/09031936.94.07061182 DP - 1994 Jun 01 TA - European Respiratory Journal PG - 1182--1184 VI - 7 IP - 6 4099 - http://erj.ersjournals.com/content/7/6/1182.short 4100 - http://erj.ersjournals.com/content/7/6/1182.full SO - Eur Respir J1994 Jun 01; 7 AB - A 57 year old man with essential tremor (ET) presented with a 2 year history of paroxysmal attacks of dyspnoea and wheezing. He had been diagnosed as having bronchial asthma, and propanolol was excluded from his treatment. Flow-volume loops showed abrupt changes in maximum flows, with poor reproducibility. A diagnosis of functional upper airway obstruction was confirmed by fibreoptic bronchoscopy. The importance of establishing the precise diagnosis, in order to provide appropriate treatment, is emphasized.