Evidence map›Paper›PMID 29201635›Full record

ArticleRespiratory medicine case reports2017

Successful use of guanfacine in a patient with chronic refractory cough: A case report.

Gregory W Kirschen, Howard Kirschen, Edward Gabalski, Jonathan M Waxner, Agnes Wohl

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Gregory W KirschenMedical Scientist Training Program (MSTP), Stony Brook University School of Medicine, Stony Brook, NY, 11794, USA.
Howard KirschenChild, Adolescent, Adult Psychiatry & Psychotherapy, 366 N Broadway Ste. 210, Jericho, NY, 11753, USA.
Edward GabalskiChief of Division of Otolaryngology and Communicative Disorders, North Shore University Hospital, Hofstra Northwell School of Medicine, Hofstra University, Hempstead, NY, 11549, USA.
Jonathan M WaxnerNassau Chest Physicians, 233 East Shore Rd., Ste 112, Great Neck, NY, 11023, USA.
Agnes WohlChild, Adolescent, Adult Psychiatry & Psychotherapy, 366 N Broadway Ste. 210, Jericho, NY, 11753, USA.
American Academy of Child and Adolescent Psychiatry · USNorth Shore University Hospital · USStony Brook University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic idiopathic cough is a common and often frustrating complaint for patients as well as providers. When common etiologies of cough are ruled out and/or do not respond to usual treatments, neurogenic cough should be considered as a diagnosis of exclusion. Here, we report on a 58-year-old woman with an 8-year history of chronic, treatment-refractory cough of unknown etiology that we diagnosed as neurogenic cough and successfully treated with guanfacine monotherapy, with rapid and durable improvement in symptoms. This case was particularly challenging for a number of reasons, including a distant past smoking history and previous pneumonia, a significant psychiatric history, and a mildly deviated nasal septum and nasal osteophyte, all or some of which could have contributed to the etiology of the cough. This case illustrates that neurogenic cough should be a diagnostic consideration in patients presenting with chronic cough in whom other treatment modalities have failed, and also suggests that the therapeutic use of guanfacine in this clinical setting warrants future investigation.

Indexed as

Alpha-2-adrenergic agonistNeurogenic coughSensory neuropathySomatic cough syndromeTic disorder

Identifiers

PMID29201635
PMCPMC5702770
OpenAlexW2763848729

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.