Dry Cough as First Manifestation of Giant‐cell Arteritis

Karagiannis, Asterios; Mathiopoulou, Lemonia; Τζιόμαλος, Κωνσταντίνος; Kontotasios, Konstantinos; Skaperdas, Athanasios; Florentin, Matilda; Amplianitis, Ioannis; Athyros, Vasilios G.

doi:10.1111/j.1532-5415.2006.00960.x

Cited by 10 publications

(2 citation statements)

References 4 publications

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“…There are several case reports of chronic cough attributed to large-vessel vasculitis. [3][4][5] Although the pathology of vasculitis-related cough is not fully understood, the inflammation of large vessels (aorta and pulmonary arteries) adjacent to the tracheobronchial tree may irritate regional cough receptors. 3 Disease classification criteria are common in rheumatologic diseases; these criteria are developed to categorize patients for research studies and are not intended to diagnose individual patients.…”

Section: Discussionmentioning

confidence: 99%

“…Among these patients with pulmonary artery aneurysm, thrombosis, or both, 40 (85%) had nodules caused by infarction or inflammation and 21 (45%) had ground‐glass opacities attributed to intraparenchymal hemorrhage. There are several case reports of chronic cough attributed to large‐vessel vasculitis 3‐5 . Although the pathology of vasculitis‐related cough is not fully understood, the inflammation of large vessels (aorta and pulmonary arteries) adjacent to the tracheobronchial tree may irritate regional cough receptors 3 …”

Section: Discussionmentioning

confidence: 99%

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Kanamori

Dhaliwal

Matsumura

et al. 2017

Journal of Hospital Medicine

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A 34-year-old, previously healthy Japanese man developed a dry cough. He did not have dyspnea, nasal discharge, sore throat, facial pain, nasal congestion, or postnasal drip. His symptoms persisted despite several courses of antibiotics (from different physicians), including clarithromycin, minocycline, and levofl oxacin. A chest x-ray after 2 months of symptoms and a noncontrast chest computed tomography (CT) after 4 months of symptoms were normal, and bacterial and mycobacterial sputum cultures were sterile. Treatment with salmeterol and fl uticasone was ineffective.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Kanamori

Dhaliwal

Matsumura

et al. 2017

Journal of Hospital Medicine

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Dry cough is a frequent manifestation of giant cell arteritis

Zénone

2012

Rheumatol Int

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Physicians need to be familiar with the typical manifestations of giant cell arteritis. However, the challenge lies in recognizing atypical cases that lack the more specific manifestations or reflect vasculitis in less frequently involved territories. Among atypical clinical manifestations, dry cough has been reported in recent years. The literature contains sporadic reports mainly single case report. The objective of this study was to determine the frequency of dry cough in patients with giant cell arteritis. Clinical data were collected from 88 patients with giant cell arteritis. Relationships between dry cough and other clinical manifestations or biological data were analyzed. Dry cough of recent appearance was found at initial presentation of giant cell arteritis in 12 patients (13.6%). In 2 cases, dry cough was isolated. The 2 patients sought attention because of chronic dry cough associated with inflammation of unknown origin. In 10 cases, dry cough was associated with typical clinical manifestations of giant cell arteritis. A correlation was found between inflammatory biomarkers and presence of dry cough. The mean CRP was 153.8 mg/l (SD 85.1) in patients with dry cough and 94 mg/l (SD 72.2) in patients without dry cough (p = 0.0131). We conclude that the diagnosis of giant cell arteritis should always be considered in an elderly patient with an unexplained elevation of inflammatory markers and chronic dry cough. Dry cough in giant cell arteritis was not correlated with other clinical manifestations of this vasculitis, including pulmonary manifestations, but was correlated with inflammatory biomarkers.

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PET FDG CT is useful for giant-cell arteritis with isolated cough

Besson

Mékinian

2023

Rheumatol Int

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Dry Cough as First Manifestation of Giant‐cell Arteritis

Cited by 10 publications

References 4 publications

Thinking Outside the Checkbox

Thinking Outside the Checkbox

Dry cough is a frequent manifestation of giant cell arteritis

PET FDG CT is useful for giant-cell arteritis with isolated cough

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