Gopalan Pushkas, Browning Simon T
Department of Otolaryngology, Singleton Hospital, Swansea, UK.
J Laryngol Otol. 2002 Nov;116(11):958-9. doi: 10.1258/00222150260369543.
Intractable paroxysmal sneezing is a rare disease primarily affecting teenage girls. We present the case of a 12-year-old girl who demonstrated the classical features of intractable paroxysmal sneezing of psychogenic origin. Most of the reported cases are psychogenic in origin, but a number of other conditions may cause intractable paraoxysmal sneeze. Apart from a detailed history, clinical examination and relevant investigations, topical nasal anaesthesia should be tried for control of symptoms--that will help to differentiate psychogenic sneezing from organic sneezing. A timely diagnosis can avoid unnecessary medical trials, parental anxiety and poor school performance, as most of the patients are very young.
顽固性阵发性喷嚏是一种罕见疾病，主要影响青少年女性。我们报告一例12岁女孩的病例，她表现出心因性顽固性阵发性喷嚏的典型特征。大多数已报道的病例为心因性，但其他一些情况也可能导致顽固性阵发性喷嚏。除详细病史、临床检查及相关检查外，应尝试局部鼻内麻醉以控制症状，这有助于区分心因性喷嚏与器质性喷嚏。及时诊断可避免不必要的医学试验、家长焦虑及学业成绩不佳，因为大多数患者年龄很小。
