Ng Jia Ji, Husain Salina, Ong Hui Yan, Zahedi Farah Dayana, Wan Hamizan Aneeza Khairiyah
Department of Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Department of Otolaryngology - Head and Neck Surgery, University of Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2021 May 27;13(5):e15268. doi: 10.7759/cureus.15268.
Intractable sneezing is a diagnosis of exclusion and is mostly psychogenic. We reported a case of an 11-year-old girl who presented with uncontrollable bouts of sneezing for three weeks, which did not respond to conventional treatment. She was eventually diagnosed to have psychogenic intractable sneezing, which was triggered by an unfortunate family circumstance. She improved with psychotherapy and was discharged well. Literature review on intractable sneezing showed that patients were predominately female teenagers and mostly recovered after psychotherapy. Multidisciplinary team effort especially with a child psychiatrist is important for the treatment and follow-up of these patients. Imaging should also be routinely performed as some had underlying organic causes that presented as intractable sneezing.
顽固性喷嚏是一种排除性诊断，大多为精神性的。我们报告了一例11岁女孩的病例，她出现无法控制的喷嚏发作达三周之久，常规治疗无效。她最终被诊断为精神性顽固性喷嚏，是由一个不幸的家庭情况引发的。她通过心理治疗有所改善并顺利出院。关于顽固性喷嚏的文献综述表明，患者主要是青少年女性，大多在心理治疗后康复。多学科团队协作，尤其是与儿童精神科医生合作，对这些患者的治疗和随访很重要。还应常规进行影像学检查，因为有些患者有潜在的器质性病因表现为顽固性喷嚏。
