A 62-year-old female complained of exertional dyspnoea associated with occasional wheeze over the past 10 years. She could not identify any trigger factors such as exposure to cold air, exercise or respiratory tract infections. She was treated empirically for bronchial asthma by her family physician with inhaled Salbutamol and inhaled Fluticasone without much relief in symptoms. She also recently complained of mild dysphagia on swallowing large boluses of food. There was no associated chest pain, weight loss or dyspepsia. The patient worked as a seamstress and was a non-smoker.
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