Habit cough – cause or consequence of gastroesophageal reflux disease?
| Autor: | Kristina Baraba Dekanić, Nikolina Vezmar Adžamić, Srđan Banac, Tanja Kosec, Goran Palčevski |
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| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty ezofagitis GERD psihogeni kašalj psihoterapija business.industry Reflux Disease medicine.disease respiratory tract diseases Pharmacological treatment esophagitis habitual cough psychotherapy Chronic cough Swallowing Medicine medicine.symptom Differential diagnosis business Esophagitis |
| Zdroj: | Medicina Fluminensis : Medicina Fluminensis Volume 52. Issue 4. |
| ISSN: | 0025-7729 1847-6864 1848-820X |
| Popis: | Cilj: prikaz 15-godišnjeg pacijenta upućenog u našu Kliniku radi kroničnog kašlja i ezofagitisa. Prikaz slučaja: Petnaestogodišnji mladić patio je od dugotrajnog kašlja uz koji su se javljale i poteškoće gutanja. Dijagnostičkom obradom postavljena je dijagnoza gastroezofagealne refluksne bolesti (engl. gastroesophageal reflux disease, GERD) i patohistološki dokazanog ezofagitisa koji se na provedeno liječenje značajno smanjuju, ali kašalj ostaje nepromijenjen. Pulmološkom i psihijatrijskom obradom postavljena je dijagnoza psihogenog kašlja te je započeto psihoterapijsko liječenje na što dolazi do smanjenja mladićevih tegoba. Zaključak: GERD se prezentira širokim spektrom ezofagealnih i ekstraezofagealnih simptoma od kojih je značajan i kronični kašalj. Međutim, kašalj druge etiologije poput psihogenog kašlja može biti i uzrok GERD-u što diferencijalnodijagnostički moramo razmotriti kod bolesnika u kojih medikamentozna terapija nije dovela do poboljšanja. Aim: Presentation of 15-year-old patient admitted to our Clinic because of chronic cough and esophagitis. Case report: A 15-year-old boy suffers from chronic cough along with swallowing difficulties. Diagnostic workup has been performed and a diagnosis of gastroesophageal reflux disease (GERD) with pathohistologically proven esophagitis has been made with significant improvement after completion of therapy, but cough stayed unchanged. The boy was examined by pulmologist and psychiatrist and they made a diagnosis of habitual cough; psychotherapy was started and resulted in improvement of symptoms. Conclusion: GERD presents with a broad spectrum of esophageal and extraeosphageal symptoms with chronic cough as an important one. Nevertheless, a cough from different origin, such as habitual cough, may cause GERD which must be included in differential diagnosis of patients to whom pharmacological treatment failed to help. |
| Databáze: | OpenAIRE |
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