Proton pump inhibitor-responsive chronic cough without acid reflux: a case report

نویسندگان

  • Kouichi Nobata
  • Hidetsugu Asanoi
چکیده

BACKGROUND Because 24-h esophageal pH monitoring is quite invasive, the diagnosis of gastroesophageal reflux disease (GERD)-associated cough has usually been made based merely on the clinical efficacy of treatment with proton pump inhibitor (PPI). CASE PRESENTATION We recently encountered two patients with PPI-responsive chronic non-productive cough for whom switching from bronchodilators and glucocorticosteroids to PPI resulted in improvement of cough. The cough returned nearly to pre-administration level a few weeks after discontinuation of PPI. Though GERD-associated cough was suspected, 24-h esophageal pH monitoring revealed that the cough rarely involved gastric acid reflux. Following re-initiation of PPI, the cough disappeared again. CONCLUSION PPI may improve cough unrelated to gastric acid reflux.

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عنوان ژورنال:
  • Journal of Medical Case Reports

دوره 1  شماره 

صفحات  -

تاریخ انتشار 2007