Evaluation and Treatment of Chronic Cough

Terasaki, Genji; Paauw, Douglas S.

doi:10.1016/j.mcna.2014.01.002

Cited by 21 publications

(30 citation statements)

References 42 publications

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“…Diagnosis and management of patients with chronic cough are challenging for clinicians. Chronic cough can be a primary symptom of a variety of underlying conditions [25,31]. The most common conditions that cause chronic cough in children under 14 are CVA, atopic cough, gastroesophageal reflux disease (GERD) and upper airway cough syndrome (formerly postnasal drip cough) [28][29][30].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…Besides asthma and CVA in adult patients with chronic cough in the differential diagnosis, smoking and ACE-I induced a cough should always be considered [30]. Less common conditions include heart failure, interstitial lung disease, tuberculosis and primary lung cancer [26,29,31].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…A few algorithms of the evaluation of chronic cough in adults and children are available in the literature [25,[30][31][32]. The use of these protocols or algorithms can improve clinical outcomes [28].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…The use of these protocols or algorithms can improve clinical outcomes [28]. Most appropriated algorithm for adults can be found in a review article by Terasaki et al [31]. In adults, the clinicians need to be attentive to two high-yield elements of the history patients: the use of an angiotensin-converting enzyme inhibitor (ACE-I) and cigarette smoking.…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…In adults, the clinicians need to be attentive to two high-yield elements of the history patients: the use of an angiotensin-converting enzyme inhibitor (ACE-I) and cigarette smoking. Of equal importance is to inquire about exposure to second-hand smoke in children [25,26,31]. Most appropriated algorithm for children can be found in a review article by Chang et al [25].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

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Cough Variant Asthma as a Phenotype of Classic Asthma

Vujnović¹,

Domuz²,

Petrovic³

2018

Asthma Diagnosis and Management - Approach Based on Phenotype and Endotype

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Cough variant asthma (CVA) was first described by Glauser. CVA was described as the isolated chronic cough as the only presenting symptom responsive to bronchodilator therapy. The authors now suggest that CVA is present with airway hyperresponsiveness, eosinophilic inflammation of central and peripheral airways and bronchodilator responsive coughing without typical manifestation of asthma such as wheezing or dyspnea. Pathologically, CVA shares common features such as eosinophilic inflammation and remodeling changes with classic asthma. Because of that, CVA is clinically considered as a variant type of asthma, a phase at the beginning of asthma pathogenesis or as a precursor of classic asthma. Nearly 30% of patients with CVA eventually develop intermittent wheezing, an average of 3-5 years. It is clinically very important to recognize CVA because long-term inhaled corticosteroids can significantly decrease the development of classic asthma in these patients.

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Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

See 3 more Smart Citations

Cough Variant Asthma as a Phenotype of Classic Asthma

Vujnović¹,

Domuz²,

Petrovic³

2018

Asthma Diagnosis and Management - Approach Based on Phenotype and Endotype

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Superior Laryngeal Nerve Block for Treatment of Neurogenic Cough

2021

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Objectives: This study aimed to add to the body of evidence for efficacy of Superior Laryngeal Nerve (SLN) blocks for treatment of neurogenic cough. Efficacy at short-and long-term intervals are presented as well as relationships with laryngoscopic findings.Methods: A retrospective chart review of patients treated with SLN block between 2018 and 2020 was conducted. Patient demographics, videostroboscopic findings, and patient-subjective perception of outcomes were recorded and analyzed. Cough Severity Index (CSI) scores from pre-injection, short-term follow-up, and long-term follow-up were compared.Results: Twenty patients underwent SLN block in the clinic setting. Four patients were excluded for incomplete records. The indication was neurogenic cough refractory to medical management and/or cough suppression therapy. Patients with short-term follow-up (n = 13) had statistically significant decrease in CSI scores, with a mean baseline CSI of 24.3 decreasing to 16.15 (P = .006). Patients with evidence of Vocal Fold Motion/Vibratory Abnormalities (VFA) (n = 8) showed improvement in short-term CSI scores, with a mean baseline CSI of 24.13 decreasing to 14.5 (P = .004). Those without evidence of VFA did not have statistically significant improvement in short-term CSI scores. At long-term follow-up, patients with VFA had improvements that approached statistical significance with a mean baseline CSI of 22.56 decreasing to 14.56 (P = .057), while patients without VFA showed no improvement.Conclusions: Our results are consistent with previous literature indicating efficacy of SLN block. The presence of VFA may be an indicator of patients who experience increased therapeutic effect.

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Preoperative Assessment of Thoracic Surgery Patient

Sood¹,

Sethi²

2020

Clinical Thoracic Anesthesia

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Evaluation and Treatment of Chronic Cough

Cited by 21 publications

References 42 publications

Cough Variant Asthma as a Phenotype of Classic Asthma

Cough Variant Asthma as a Phenotype of Classic Asthma

Superior Laryngeal Nerve Block for Treatment of Neurogenic Cough

Preoperative Assessment of Thoracic Surgery Patient

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