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Pemberton SignSpirometry in Intrathoracic Goiter: A Recommendation to Perform Arm Elevation Spirometry With Flow-Volume Loops

Patrícia Naves Resende, MD; Marcelo Bezerra de Menezes, MD; Geruza Alves Silva, MD; Elcio Oliveira Vianna, MD
Author and Funding Information

From the Pulmonary Division, Department of Medicine, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

CORRESPONDENCE TO: Elcio Oliveira Vianna, MD, Pulmonary Division, Department of Medicine, Medical School of Ribeirão Preto, University of São Paulo, Av Bandeirantes, 3900 - Ribeirão Preto, SP, 14048-900, Brazil; e-mail: evianna@fmrp.usp.br


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(6):e168-e170. doi:10.1378/chest.15-0700
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We report a case of intrathoracic goiter with positive Pemberton sign. Conventional spirometry did not show abnormalities, but arm elevation spirometry with flow-volume loops revealed expiratory flow limitation with a plateau. Clinicians should consider repeating flow-volume loops with arm elevation in all cases of intrathoracic goiter with initially normal loops.

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