Excessive dynamic airway collapse presenting as intractable cough and wheezing : A case report

Excessive dynamic airway collapse (EDAC) is a condition characterized by significant airway narrowing, often mistaken for asthma or COPD. This case study highlights a 35-year-old woman with chronic cough and wheezing, resistant to standard treatments. Through bronchoscopy, EDAC (>90%) was diagnosed, exacerbated by a history of pulmonary tuberculosis. Treatment involved serial bronchial dilatation and NIPPV, resulting in symptom relief. EDAC, frequently underdiagnosed, warrants consideration in patients with refractory respiratory symptoms, especially those with past tuberculosis. Dynamic bronchoscopy remains the gold standard for diagnosis, guiding tailored management strategies ranging from conservative to surgical interventions.