Korean J Med > Volume 78(6); 2010 > Article
The Korean Journal of Medicine 2010;78(6):674-681.
Useful approach to the diagnosis and treatment of chronic cough
Young-Il Koh
경북대학교 의과대학 내과학교실
만성기침의 진단과 치료를 위한 유용한 접근법
고영일
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
Abstract
It is necessary to recognize how to approach patients with chronic cough to diagnosis and treat the causes, because cough may resolve only after the management of the causative disease. There are many reports of successful management of cohorts of patients with chronic cough, by use of variants of anatomic, diagnostic approach to investigation. It should be recognized whether initial empiric treatment or specific treatment following diagnostic investigations is begun and when cough improves since the treatment for each disease. The resolution of cough in response to the empiric or specific treatment should be assessed to confirm the diagnosis of the diseases as a cause of cough. The treatment should be given in sequential and additive steps because more than one cause of cough may be present in some patients. However, in up to 20% of referrals to cough clinics, the cause of cough remains unclear even after extensive investigations and treatment trials, suggesting that aspects of the anatomic, diagnostic investigation protocol need to be modified. Hence, more research and better treatments for chronic cough are needed. (Korean J Med 78:674-681, 2010)
Key Words: Chronic cough; Diagnosis; Treatment


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