An 11-year-old girl with up to 19,200 coughs per day: broadening therapeutic strategies.

Appl Neuropsychol Child

a Section of Immunology, HIV, and Allergy , Universidad de Chile Clinical Hospital, Santiago , Chile.

Published: December 2015

An 11-year-old girl was transferred to the Universidad de Chile Clinical Hospital after 2.5 months of persistent and unresponsive treatment for coughlike spasms. On arrival, the frequency of symptoms was 1 cough every 4 s, which disappeared during sleep. A multidisciplinary examination excluded allergic, viral, respiratory, epileptic, and other more usual causes of similar conditions. Two diagnoses (psychogenic cough and transient vocal tic disorder) and a mixed intervention were proposed leading to resolution in 12 days of treatment. No recurrence of symptoms was observed during several evaluations within 12 months of medical follow-up. An association between the 2 diagnoses is proposed and discussed.

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http://dx.doi.org/10.1080/21622965.2013.799036DOI Listing

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