Department of Allergy and Clinical Immunology, Airway Sensation and Cough Research Laboratory, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
Korean J Intern Med. 2020 Jul;35(4):811-822. doi: 10.3904/kjim.2020.013. Epub 2020 May 20.
Chronic cough is a common clinical condition with significant impact on quality of life and for which effective therapy remains an unmet clinical need. Over the past decade, there has been a major shift in how we approach this problem, driven by better appreciation of the clinical manifestation of chronic cough and an improved understanding of the associated neurobiology. "Cough hypersensitivity syndrome" has been proposed as a new diagnostic term for chronic cough, encompassing different phenotypes of the condition. Accumulating evidence suggests that this new concept is clinically relevant. However, while it is gaining widespread endorsement within the allergy and respiratory community, raising its profile in routine clinical practice is a priority. Thus, the present paper reviews recent progress in our understanding and management of chronic cough, with focus on mechanistic and clinical studies. It also provides detail on knowledge gaps and future research directions.
慢性咳嗽是一种常见的临床病症,对生活质量有重大影响,但目前仍缺乏有效的治疗方法。在过去的十年中,我们对慢性咳嗽的临床表现有了更深入的了解,对相关神经生物学的认识也有所提高,因此在处理这个问题的方式上发生了重大转变。“咳嗽高敏综合征”被提议作为慢性咳嗽的一个新的诊断术语,涵盖了该疾病的不同表型。越来越多的证据表明,这个新概念具有临床意义。然而,尽管它在过敏和呼吸领域得到了广泛的认可,但在常规临床实践中提高其知名度仍是当务之急。因此,本文综述了我们对慢性咳嗽的理解和管理方面的最新进展,重点介绍了机制和临床研究。它还详细介绍了知识空白和未来的研究方向。