Cough variant asthma clinical analysis of 20 cases of.doc

 PAGE \* MERGEFORMAT 6 Cough variant asthma clinical analysis of 20 cases of [Keywords:] cough variant asthma; diagnosis; treatment Cough variant asthma (cough wariant asthma, CVA) is a chronic cough as the main or only symptom of a special type of bronchial asthma, main clinical manifestations were associated with intractable cough or chest tightness. Due to lack of the typical asthma symptoms, clinical misdiagnosed, early accurate diagnosis and timely treatment can prevent further injury of the airway, thereby reducing the incidence of typical asthma. Now we have 20 cases treated 2003-2007 cough variant asthma treatment analysis report is as follows. 1 Data and methods 1.1 General Information of this group of 20 patients, 9 males and 11 females. Age 16 to 45 years. Course of 2 months to 2 years. A clear incentive to make it heavier, or induced in 15 cases (75%); attack obviously the seasonal five cases (25%); cold air, or inhalation of irritant gases increased or induced in 8 cases (40%); increased after exercise or induced in 3 cases (15%); have a personal history of allergy [(urticaria, allergic rhinitis, food, drug allergy and other 2 cases (10%)]; a family history of asthma in 3 cases (15%). All patients had pre-treatment have used antibiotics and cough expectorant drug treatment for more than 2 weeks is invalid. Clinical manifestations: All the cases are chronic cough as the main performance. including a dry cough in 16 cases (80%) to mainly dry cough and a small amount of white sticky sputum in 4 cases ( 20%), dry cough at night in bed go to bed, early morning hours, and particularly at night when the cold stimulus; cough accompanied by chest tightness, three cases (15%). checkup there was no Wheezing lungs. X-ray were not See exception. allergen skin point stimulation test was positive in 12 cases (60%). Lung function test forced expiratory volume in first second (FEV1) account for more than 80% of predicted value, bronchial provocation test was