심인성 기침 1례 = A Case of Psychogenic Cough

국문 초록 (Abstract)

저자들은 3주 이상의 일반적인 약물 치료에도 호전을 보이지 않는 컹컹거리는 기침을 하는 11세 남아에서 심인성 기침을 진단하고 심리 상담을 통해 호전된 1례를 경험하였기에 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Chronic cough-defined as a cough that persists for more than 3 weeks-is one of the most common symptoms during childhood that requires evaluation of causes and appropriate management, because it can be very disturbing to daily activities at home and school. Besides asthma, postnasal drip syndrome, post infectious cough, chronic bronchitis, gastroesophageal reflux disease and congenital anomaly, psychogenic factors are known to be possible causes of chronic cough in children. “Habit cough” and “respiratory tic” are different names given to psychogenic coughs. Psychogenic cough is croupy, loud, and unresponsive to antitussives or bronchodilators. It becomes more noticeable to attention and disappears during sleep. Over 90% of cases of psychogenic cough have been reported in patients under 18 years of age and its diagnosis is often delayed due to the time consumed for exclusion of other underlying organic disorders and the recognition of psychogenic factors as an etiology. We report on the case of an 11-year-old boy who presented with chronic cough of a barking nature and was diagnosed as having psychogenic cough by characteristics and 24-hour monitoring of cough frequency and who was treated by psychological interview.

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