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Allergic shiners in a patient with cough-variant asthma: a case report

BACKGROUND: Chronic cough, with a duration of coughing of more than 8 weeks in adults, affects 5–10% of the general population. One of the most common causes of chronic cough is cough-variant asthma, which accounts for approximately one-third of cases. This phenotype of asthma is characterized by ex...

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Autores principales: Rekabi, Mahsa, Raad, Nasim, Abedini, Atefeh, Darougar, Sepideh, Velayati, Ali Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142182/
https://www.ncbi.nlm.nih.gov/pubmed/35624503
http://dx.doi.org/10.1186/s13256-022-03423-6
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author Rekabi, Mahsa
Raad, Nasim
Abedini, Atefeh
Darougar, Sepideh
Velayati, Ali Akbar
author_facet Rekabi, Mahsa
Raad, Nasim
Abedini, Atefeh
Darougar, Sepideh
Velayati, Ali Akbar
author_sort Rekabi, Mahsa
collection PubMed
description BACKGROUND: Chronic cough, with a duration of coughing of more than 8 weeks in adults, affects 5–10% of the general population. One of the most common causes of chronic cough is cough-variant asthma, which accounts for approximately one-third of cases. This phenotype of asthma is characterized by extreme sensitivity of the neuronal pathways mediating cough to environmental irritants, which results in an urge to cough. This case is an example of cough-variant asthma presenting with allergic shiners due to her severe cough. CASE PRESENTATION: A 38-year-old Iranian woman, who was well before the start of the coronavirus disease 2019 pandemic, presented with a nonproductive hacking cough that had begun after excessive use of antiseptic solutions. The only positive finding on physical examination was a reddish-purple rash on and around the eyelids mimicking a heliotrope rash, which had probably evolved due to the severity of the cough. The results of the pulmonary function test were within normal limits. Methacholine challenge test and chest x-ray were both normal. Chest high-resolution computed tomography revealed hyperinflation and tree-in-bud opacities. All other laboratory tests were normal. Because of the reversibility in her pulmonary function test, despite normal baseline parameters, asthma treatment was initiated, resulting in disappearance of the cough and the eye discoloration, being indicative of the correct diagnosis and proper treatment. CONCLUSION: Patients with cough-variant asthma may often have no other classic symptoms of asthma other than cough.
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spelling pubmed-91421822022-05-29 Allergic shiners in a patient with cough-variant asthma: a case report Rekabi, Mahsa Raad, Nasim Abedini, Atefeh Darougar, Sepideh Velayati, Ali Akbar J Med Case Rep Case Report BACKGROUND: Chronic cough, with a duration of coughing of more than 8 weeks in adults, affects 5–10% of the general population. One of the most common causes of chronic cough is cough-variant asthma, which accounts for approximately one-third of cases. This phenotype of asthma is characterized by extreme sensitivity of the neuronal pathways mediating cough to environmental irritants, which results in an urge to cough. This case is an example of cough-variant asthma presenting with allergic shiners due to her severe cough. CASE PRESENTATION: A 38-year-old Iranian woman, who was well before the start of the coronavirus disease 2019 pandemic, presented with a nonproductive hacking cough that had begun after excessive use of antiseptic solutions. The only positive finding on physical examination was a reddish-purple rash on and around the eyelids mimicking a heliotrope rash, which had probably evolved due to the severity of the cough. The results of the pulmonary function test were within normal limits. Methacholine challenge test and chest x-ray were both normal. Chest high-resolution computed tomography revealed hyperinflation and tree-in-bud opacities. All other laboratory tests were normal. Because of the reversibility in her pulmonary function test, despite normal baseline parameters, asthma treatment was initiated, resulting in disappearance of the cough and the eye discoloration, being indicative of the correct diagnosis and proper treatment. CONCLUSION: Patients with cough-variant asthma may often have no other classic symptoms of asthma other than cough. BioMed Central 2022-05-28 /pmc/articles/PMC9142182/ /pubmed/35624503 http://dx.doi.org/10.1186/s13256-022-03423-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Rekabi, Mahsa
Raad, Nasim
Abedini, Atefeh
Darougar, Sepideh
Velayati, Ali Akbar
Allergic shiners in a patient with cough-variant asthma: a case report
title Allergic shiners in a patient with cough-variant asthma: a case report
title_full Allergic shiners in a patient with cough-variant asthma: a case report
title_fullStr Allergic shiners in a patient with cough-variant asthma: a case report
title_full_unstemmed Allergic shiners in a patient with cough-variant asthma: a case report
title_short Allergic shiners in a patient with cough-variant asthma: a case report
title_sort allergic shiners in a patient with cough-variant asthma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142182/
https://www.ncbi.nlm.nih.gov/pubmed/35624503
http://dx.doi.org/10.1186/s13256-022-03423-6
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