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FBA can mimic other entities including AE-COPD and CAO, as seen in our case. Clinicians should not terminate the diagnostic process until all available information explaining the patient's signs and symptoms is collected. Despite the lack of apparent aspiration, FBA is an important differential diagnosis of new wheezing in the elderly. Physicians need to carefully evaluate "trivial" information or collect additional information when encountering airway symptoms in elderly patients to avoid missing an FBA diagnosis. Despite the lack