TY - JOUR T1 - An unusual spirometric shape that you must not forget JF - Breathe JO - Breathe DO - 10.1183/20734735.0176-2019 VL - 16 IS - 1 SP - 190176 AU - Giorgio Castellana AU - Roberto Castellana AU - Roberto Castellana AU - Carlo Castellana AU - Paola Verde AU - Giuseppe Castellana Y1 - 2020/03/01 UR - http://breathe.ersjournals.com/content/16/1/190176.abstract N2 - A 37-year-old woman, who is a mother of a 5-year-old girl, presented to our outpatient pulmonary clinic because of cough and yellowish expectorate for 20 days. She was a former smoker of 10 cigarettes a day for 20 years (10 pack-years) and worked as agricultural day labourer. Since the age of 25 years, the patient reported one or two episodes of lower respiratory tract infection (LTRI) during the winter months that resolved within a few days of antibiotic and mucolytic treatment. The persistence of cough and expectorate of the last LTRI let the general practitioner to seek a respiratory specialist respiratory consultation with spirometry.An anomalous spirometric pattern can initiate a diagnostic path leading to the finding of a congenital vascular malformation. The flow–volume curve may hide a nonrespiratory pathology. Spirometry is not just asthma or COPD. http://bit.ly/30iHRCp ER -