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A 68-year-old woman with nodular bronchiectasis presents with persistent productive cough, intermittent regurgitation and recurrent ‘chest infections’ despite 12 months of once-daily proton pump inhibitor (PPI) therapy. Her clinician has doubled the PPI dose and is considering long-term azithromycin. Sputum has not been sent for mycobacterial culture in over a year. She has lost 3 kg, at times […]

James Wingfield Digby, ERS 2022: Hypotonic Saline in the Diagnosis of Refractory/Unexplained Chronic Cough

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Published Online: Sep 15th 2022

Chronic cough is a persistent cough lasting ≥8 weeks and is estimated to affect between 2-18% of the global population; however chronic cough is often unrecognized, underdiagnosed and there remain many unmet needs in its treatment. It was a pleasure to speak with Dr. James Wingfield Digby (University of Manchester, Manchester, UK) around his study investigating hypotonic saline as a diagnostic for refractory/unexplained chronic cough.

The abstract ‘Hypotonic Saline Effectively discriminates Refractory/Unexplained Chronic Cough from Healthy Volunteers‘ was presented at ERS 2022, 4–6 September, 2022.

Questions

  1. What are the diagnostic challenges of refractory/unexplained chronic cough (RCC/UCC)? (0:24)
  2. What was the rationale for the use of hypotonic saline to distinguish RCC/UCC from healthy volunteers? (2:20)
  3. What were the aims, design and eligibility criteria of your study? (4:15)
  4. How well did hypotonic saline differentiate the healthy volunteers from the RCC-UCC group? (5:05)
  5. What will be the clinical impact of this finding? (6:52)

Disclosures: James Wingfield Digby has nothing to disclose in relation to this video interview.

Support: Interview and filming supported by Touch Medical Media Ltd. Interview conducted by Victoria Jones.

Filmed in coverage of the ERS meeting 2022.

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