만성기침 환자의 원인적 고찰 및 기관지 과민성
- Alternative Title
- Airway hyperresponsiveness and etiology in patients with chronic cough
- Abstract
- Background : Chronic cough is commomly defined as a persistent or recurrent cough exceeding 3 week's duration. The prevalence of chroinc cough is reported to range from 14% to 23 % for nonsmoking adults. The post nasal drip syndrome has been determined to be the most common cause of chronic cough, followed by asthma, chronic bronchitis, gastroesophageal reflux and bronchiectasis. Cough can be the only manifestation of asthma. Bronchial provocation tests are useful in diagnosing cough variant asthma. We investigated the clinical or laboratory findings and the incidence of airway hyperresponsiveness and evaluated the etiology in patients with chronic cough. Method : We evaluated 46 patients with chronic cough. Methacholine challenge test were done. Results : The results were as follows : 1) Thirty - five percent(16/46) of the chronic cough patients and 44% of the post nasal drip syndrom(7/16) showed the positive responses to methacholine challenge test 2) The underlying causes of chronic cough were post nasal drip syndrome in 35%, bronchitis in 21.7%, cough-variant asthma in 17.4%, and unknown condition in 25.9%. 3) Airway hyperresponsiveness in chronic cough was not related to respiratory symptom, nasal symptom, post nasal drip, smoking, derangement of ventilatory function, atopy, or sinusitis. Conclusion : Airway hyperresponsivenss in patients with chronic cough increased in frequency when compaired with normal control, allergic rhinitis. Cough-variant asthma account for 17.4% of patients with chronic cough.
- All Author(s)
- 김경호
; 이규택
; 박성우
; 오제호
; 기신영
; 문승혁
; 정성환
; 김현태
; 어수택
; 김용훈
; 박춘식
; 진병원
- Issued Date
- 1997
- Type
- Article
- Keyword
- Chronic cough; Airway hyperresponsiveness; Cough-variant asthma; Brochoprovocation pulmonary testing
- Publisher
- 대한결핵및호흡기학회
- ISSN
- 0378-0066
; 1738-3536
; 2005-6184
- Citation Title
- 결핵 및 호흡기질환
Tuberculosis and Respiratory Disease
- Citation Volume
- 44
- Citation Number
- 1
- Citation Start Page
- 146
- Citation End Page
- 153
- Language(ISO)
- kor
- DOI
- 10.4046/trd.1997.44.1.146
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/679
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