Evidence map›Paper›PMID 39934768›Full record

ArticleBMC pulmonary medicine2025

A middle-aged man with dyspnea and hoarseness: an unusual case of vocal cord paralysis.

Seyedeh Nadia Tabatabaeifar, Mahsa Ahmadpour, Mohammad Javad Fallahi

Abstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Seyedeh Nadia TabatabaeifarInternal Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mahsa AhmadpourShahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Javad FallahiThoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. falahijavad@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPleuroparenchymal fibroelastosis (PPFE) is a rare and distinct form of Interstitial lung disease predominantly affecting the upper lung zones. It is characterized by fibrotic thickening of the visceral pleura and adjacent subpleural parenchyma. While common complications include spontaneous pneumothorax and pneumomediastinum, vocal cord paralysis (VCP) or paresis has been increasingly recognized as a potential manifestation in recent reports. CASE PRESENTATION: We present a 49-year-old man presenting with progressive dyspnea, hoarseness, and left-sided vocal cord paralysis. Imaging studies revealed upper lobe-dominant fibrotic changes associated with significant pleural thickening consistent with PPFE. A comprehensive evaluation ruled out secondary causes of PPFE and other potential etiologies of VCP. Despite supportive management, the patient's VCP persisted, likely due to architectural distortion of the lung affecting the recurrent laryngeal nerve pathway.

conclusionsThis case adds to the limited but growing body of literature on the association between PPFE and VCP. Understanding this rare complication is crucial for early recognition and appropriate management, as it highlights the diverse clinical manifestations of PPFE and its impact on patient outcomes.

Indexed as

DyspneaHoarsenessLung Diseases, InterstitialPulmonary FibrosisVocal Cord ParalysisHumansMaleMiddle AgedTomography, X-Ray ComputedInterstitial lung diseasePleuroparenchymal fibroelastosisRecurrent laryngeal nerveTracheobronchial distortionVocal cord paralysis

Identifiers

PMID39934768
PMCPMC11816999

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.