Allergic shiners in a patient with cough-variant asthma: a case report
Abstract 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 characteriz...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-022-03423-6 |
| _version_ | 1818213539659120640 |
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| author | Mahsa Rekabi Nasim Raad Atefeh Abedini Sepideh Darougar Ali Akbar Velayati |
| author_facet | Mahsa Rekabi Nasim Raad Atefeh Abedini Sepideh Darougar Ali Akbar Velayati |
| author_sort | Mahsa Rekabi |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-12T06:05:54Z |
| format | Article |
| id | doaj.art-989080874d98434bbbd66562cf547f03 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T06:05:54Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-989080874d98434bbbd66562cf547f032022-12-22T00:35:17ZengBMCJournal of Medical Case Reports1752-19472022-05-011611410.1186/s13256-022-03423-6Allergic shiners in a patient with cough-variant asthma: a case reportMahsa Rekabi0Nasim Raad1Atefeh Abedini2Sepideh Darougar3Ali Akbar Velayati4Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical SciencesChronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical SciencesChronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical SciencesDepartment of Pediatrics, Tehran Medical Sciences Branch, Islamic Azad UniversityChronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical SciencesAbstract 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.https://doi.org/10.1186/s13256-022-03423-6Cough-variant asthmaChronic coughAsthmaAllergic shiners |
| spellingShingle | Mahsa Rekabi Nasim Raad Atefeh Abedini Sepideh Darougar Ali Akbar Velayati Allergic shiners in a patient with cough-variant asthma: a case report Journal of Medical Case Reports Cough-variant asthma Chronic cough Asthma Allergic shiners |
| 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 | Cough-variant asthma Chronic cough Asthma Allergic shiners |
| url | https://doi.org/10.1186/s13256-022-03423-6 |
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