This case report demonstrates the dangers of assuming the accuracy of a neonatal diagnosis of asthma, that is not responsive to medical therapy, and highlights the value of CT imaging.
The prevalence of asthma is high, but ‘all that wheezes is not asthma’. We present the case of a 38-year-old pregnant woman who had acute severe ventilatory failure initially thought to be an exacerbation of asthma. This delayed the actual diagnosis of haemorrhagic enlargement of a goitre complicated by pre-eclampsia. We also perform a literature review of previous publications. This case highlights the goitrogenic effects of pregnancy and the associated risks of respiratory compromise.
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