Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules
A 64-year-old male former smoker with a history of prostate cancer presented to our pulmonary clinic, complaining of nonproductive cough for 10 years. Prior evaluation included treatment for upper airway cough syndrome and gastroesophageal reflux, stopping angiotensin-converting enzyme inhibitor, an...
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| Veröffentlicht in: | Chest 2016-09, Vol.150 (3), p.e81-e85 |
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| creator | Warren, Whittney A., DO Dalane, Scott S., MD Warren, Bryce D., PhD Peterson, Paul G., MD Boyum, Rodney D., MD Kelly, William, MD |
| description | A 64-year-old male former smoker with a history of prostate cancer presented to our pulmonary clinic, complaining of nonproductive cough for 10 years. Prior evaluation included treatment for upper airway cough syndrome and gastroesophageal reflux, stopping angiotensin-converting enzyme inhibitor, and initiation of inhaled β-agonists. Esophageal pH monitoring indicated silent reflux, and proton pump inhibitor therapy was started. He continued to cough and complain of dyspnea. Physical examination produced unremarkable results, with no evidence of lymphadenopathy. Pulmonary function tests showed a pseudo-restrictive pattern with air trapping, hyperreactivity, and incomplete bronchodilator responsiveness: FEV1 , 2.48 L (69% of predicted); FVC, 3.57 L (75% of predicted); FEV1 /FVC, 92%; total lung capacity, 7.00 L (100% of predicted); and residual volume, 3.05 L (136% of predicted). Laboratory studies, including a complete metabolic panel, prostate-specific antigen test, and complete blood count, yielded normal results. |
| doi_str_mv | 10.1016/j.chest.2016.03.040 |
| format | Article |
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Prior evaluation included treatment for upper airway cough syndrome and gastroesophageal reflux, stopping angiotensin-converting enzyme inhibitor, and initiation of inhaled β-agonists. Esophageal pH monitoring indicated silent reflux, and proton pump inhibitor therapy was started. He continued to cough and complain of dyspnea. Physical examination produced unremarkable results, with no evidence of lymphadenopathy. Pulmonary function tests showed a pseudo-restrictive pattern with air trapping, hyperreactivity, and incomplete bronchodilator responsiveness: FEV1 , 2.48 L (69% of predicted); FVC, 3.57 L (75% of predicted); FEV1 /FVC, 92%; total lung capacity, 7.00 L (100% of predicted); and residual volume, 3.05 L (136% of predicted). Laboratory studies, including a complete metabolic panel, prostate-specific antigen test, and complete blood count, yielded normal results.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1016/j.chest.2016.03.040</identifier><identifier>PMID: 27613994</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Carcinoid Tumor - complications ; Carcinoid Tumor - diagnostic imaging ; Carcinoid Tumor - pathology ; Carcinoid Tumor - physiopathology ; Chronic Disease ; Cough - etiology ; Dyspnea - etiology ; Fluorodeoxyglucose F18 ; Forced Expiratory Volume ; Humans ; Lung - diagnostic imaging ; Lung - physiopathology ; Lung Neoplasms - complications ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - pathology ; Lung Neoplasms - physiopathology ; Male ; Middle Aged ; Multiple Pulmonary Nodules - complications ; Multiple Pulmonary Nodules - diagnostic imaging ; Multiple Pulmonary Nodules - pathology ; Multiple Pulmonary Nodules - physiopathology ; Positron-Emission Tomography ; Pulmonary/Respiratory ; Radiopharmaceuticals ; Residual Volume ; Time Factors ; Tomography, X-Ray Computed ; Total Lung Capacity ; Vital Capacity</subject><ispartof>Chest, 2016-09, Vol.150 (3), p.e81-e85</ispartof><rights>2016</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-fd0737c0d6cd3ddde9d466c7100e64ec71a95fb4e6440ab852b020e88fa0ceb13</citedby><cites>FETCH-LOGICAL-c459t-fd0737c0d6cd3ddde9d466c7100e64ec71a95fb4e6440ab852b020e88fa0ceb13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27613994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warren, Whittney A., DO</creatorcontrib><creatorcontrib>Dalane, Scott S., MD</creatorcontrib><creatorcontrib>Warren, Bryce D., PhD</creatorcontrib><creatorcontrib>Peterson, Paul G., MD</creatorcontrib><creatorcontrib>Boyum, Rodney D., MD</creatorcontrib><creatorcontrib>Kelly, William, MD</creatorcontrib><title>Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules</title><title>Chest</title><addtitle>Chest</addtitle><description>A 64-year-old male former smoker with a history of prostate cancer presented to our pulmonary clinic, complaining of nonproductive cough for 10 years. Prior evaluation included treatment for upper airway cough syndrome and gastroesophageal reflux, stopping angiotensin-converting enzyme inhibitor, and initiation of inhaled β-agonists. Esophageal pH monitoring indicated silent reflux, and proton pump inhibitor therapy was started. He continued to cough and complain of dyspnea. Physical examination produced unremarkable results, with no evidence of lymphadenopathy. Pulmonary function tests showed a pseudo-restrictive pattern with air trapping, hyperreactivity, and incomplete bronchodilator responsiveness: FEV1 , 2.48 L (69% of predicted); FVC, 3.57 L (75% of predicted); FEV1 /FVC, 92%; total lung capacity, 7.00 L (100% of predicted); and residual volume, 3.05 L (136% of predicted). Laboratory studies, including a complete metabolic panel, prostate-specific antigen test, and complete blood count, yielded normal results.</description><subject>Carcinoid Tumor - complications</subject><subject>Carcinoid Tumor - diagnostic imaging</subject><subject>Carcinoid Tumor - pathology</subject><subject>Carcinoid Tumor - physiopathology</subject><subject>Chronic Disease</subject><subject>Cough - etiology</subject><subject>Dyspnea - etiology</subject><subject>Fluorodeoxyglucose F18</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - physiopathology</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple Pulmonary Nodules - complications</subject><subject>Multiple Pulmonary Nodules - diagnostic imaging</subject><subject>Multiple Pulmonary Nodules - pathology</subject><subject>Multiple Pulmonary Nodules - physiopathology</subject><subject>Positron-Emission Tomography</subject><subject>Pulmonary/Respiratory</subject><subject>Radiopharmaceuticals</subject><subject>Residual Volume</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Total Lung Capacity</subject><subject>Vital Capacity</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAQhi0EotvCEyAhH7kkjGPHiQ8goRUUpJZWoghxsrz2hPXijRc7Qerb8Cw8GQ5bOHDh5Pnl__d4viHkCYOaAZPPd7XdYp7qpogaeA0C7pEVU5xVvBX8PlkBsKbiUjUn5DTnHRTNlHxITppOMq6UWJHrGxzpZzQp0zjQ9TbF0Vu6jvOXLfUjNVSKarmuroKjl2akn_y0pZdzmPwhIL2ewz6OJt3-_PE-ujlgfkQeDCZkfHx3npGPb17frN9WF1fn79avLiorWjVVg4OOdxactI4751A5IaXtGABKgaUwqh02oggBZtO3zQYawL4fDFjcMH5Gnh3fPaT4bS4c9N5niyGYEeOcNetZL7u-5apY-dFqU8w54aAPye_LpzUDvaDUO_0bpV5QauC6oCypp3cN5s0e3d_MH3bF8OJowDLmd49JZ-txtOh8QjtpF_1_Grz8J2-DL_RN-Iq3mHdxTmMhqJnOjQb9YdnmskwmRde2que_APn5mj8</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Warren, Whittney A., DO</creator><creator>Dalane, Scott S., MD</creator><creator>Warren, Bryce D., PhD</creator><creator>Peterson, Paul G., MD</creator><creator>Boyum, Rodney D., MD</creator><creator>Kelly, William, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules</title><author>Warren, Whittney A., DO ; Dalane, Scott S., MD ; Warren, Bryce D., PhD ; Peterson, Paul G., MD ; Boyum, Rodney D., MD ; Kelly, William, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-fd0737c0d6cd3ddde9d466c7100e64ec71a95fb4e6440ab852b020e88fa0ceb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Carcinoid Tumor - complications</topic><topic>Carcinoid Tumor - diagnostic imaging</topic><topic>Carcinoid Tumor - pathology</topic><topic>Carcinoid Tumor - physiopathology</topic><topic>Chronic Disease</topic><topic>Cough - etiology</topic><topic>Dyspnea - etiology</topic><topic>Fluorodeoxyglucose F18</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - physiopathology</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple Pulmonary Nodules - complications</topic><topic>Multiple Pulmonary Nodules - diagnostic imaging</topic><topic>Multiple Pulmonary Nodules - pathology</topic><topic>Multiple Pulmonary Nodules - physiopathology</topic><topic>Positron-Emission Tomography</topic><topic>Pulmonary/Respiratory</topic><topic>Radiopharmaceuticals</topic><topic>Residual Volume</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Total Lung Capacity</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warren, Whittney A., DO</creatorcontrib><creatorcontrib>Dalane, Scott S., MD</creatorcontrib><creatorcontrib>Warren, Bryce D., PhD</creatorcontrib><creatorcontrib>Peterson, Paul G., MD</creatorcontrib><creatorcontrib>Boyum, Rodney D., MD</creatorcontrib><creatorcontrib>Kelly, William, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warren, Whittney A., DO</au><au>Dalane, Scott S., MD</au><au>Warren, Bryce D., PhD</au><au>Peterson, Paul G., MD</au><au>Boyum, Rodney D., MD</au><au>Kelly, William, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>150</volume><issue>3</issue><spage>e81</spage><epage>e85</epage><pages>e81-e85</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>A 64-year-old male former smoker with a history of prostate cancer presented to our pulmonary clinic, complaining of nonproductive cough for 10 years. Prior evaluation included treatment for upper airway cough syndrome and gastroesophageal reflux, stopping angiotensin-converting enzyme inhibitor, and initiation of inhaled β-agonists. Esophageal pH monitoring indicated silent reflux, and proton pump inhibitor therapy was started. He continued to cough and complain of dyspnea. Physical examination produced unremarkable results, with no evidence of lymphadenopathy. Pulmonary function tests showed a pseudo-restrictive pattern with air trapping, hyperreactivity, and incomplete bronchodilator responsiveness: FEV1 , 2.48 L (69% of predicted); FVC, 3.57 L (75% of predicted); FEV1 /FVC, 92%; total lung capacity, 7.00 L (100% of predicted); and residual volume, 3.05 L (136% of predicted). 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| subjects | Carcinoid Tumor - complications Carcinoid Tumor - diagnostic imaging Carcinoid Tumor - pathology Carcinoid Tumor - physiopathology Chronic Disease Cough - etiology Dyspnea - etiology Fluorodeoxyglucose F18 Forced Expiratory Volume Humans Lung - diagnostic imaging Lung - physiopathology Lung Neoplasms - complications Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Lung Neoplasms - physiopathology Male Middle Aged Multiple Pulmonary Nodules - complications Multiple Pulmonary Nodules - diagnostic imaging Multiple Pulmonary Nodules - pathology Multiple Pulmonary Nodules - physiopathology Positron-Emission Tomography Pulmonary/Respiratory Radiopharmaceuticals Residual Volume Time Factors Tomography, X-Ray Computed Total Lung Capacity Vital Capacity |
| title | Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules |
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