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Chronic Cough: a Symptom between Pulmonary and Psychogenic Disease. A Case of Misdiagnosed Endobronchial Hamartoma. | LitMetric

AI Article Synopsis

  • Endobronchial hamartoma is a benign tumor made up of fat, cartilage, and bone tissue, which can either show no symptoms or lead to respiratory issues like cough and pneumonia.
  • A case study presented a 68-year-old male who experienced a persistent cough for four years but received various treatments and was misdiagnosed with anxiety disorder before further investigation.
  • After conducting a chest CT and bronchoscopy, the hamartoma was identified and successfully removed, leading to significant relief from his coughing symptoms.

Article Abstract

Endobronchial hamartoma is a benign mesenchymal tumor. It contains fat, cartilage and even bone tissue. It can be asymptomatic or cause respiratory symptoms such as cough and pneumonias. We report a case of a 68-year-old male who suffered from cough for the last four years. During this period of time, he was treated with different therapeutic approaches, including antibiotics, inhaled corticosteroids, pregabaline and bronchodilators, without clinical improvement. Allergic and gastrointestinal diseases were excluded. Pulmonary function tests were all normal. His symptoms had been attributed to anxiety disorder as psychogenic cough. However, a chest computed tomography (CT) was never conducted. Chest CT and bronchoscopy revealed an endobronchial hamartoma. Its endoscopical removal led to impressive remission of symptoms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565158PMC
http://dx.doi.org/10.26574/maedica.2024.19.3.658DOI Listing

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