Extended analysis of exhaled and nasal nitric oxide for the evaluation of chronic cough.

作者: Mauro Maniscalco , Stanislao Faraone , Matteo Sofia , Antonio Molino , Alessandro Vatrella

DOI: 10.1016/J.RMED.2015.05.016

关键词:

摘要: Abstract Introduction Chronic cough is usually defined as a that lasts for eight weeks or longer. Its etiological diagnosis not always straightforward, and the measurement of exhaled nitric oxide (FeNO) has been proposed in patients' evaluation. No studies have assessed usefulness extended NO evaluation chronic cough. Therefore, we aimed at evaluating an nasal initial Methods We studied 52 non-smoker patients with prolonged lasting more than weeks. Etiologies were identified. Nasal FeNO using multiple single-breath analysis different constant expiratory flow-rates. From fractional concentration measured each flow-rate, total flux between tissue gas phase bronchial lumen (J'awNO), alveolar (C ano ) extrapolated. Results The classified four categories: variant asthma (CVA), nonasthmatic eosinophilic bronchitis (NAEB), upper airway syndrome (UACS) gastro-esophageal reflux disease (GERD). Compared UACS GERD, both J'awNO higher CVA NAEB, no differences found C level among groups. Conclusions Our study suggests potentially useful role did find any additive value performing flow-rates measurements.

参考文章(25)
Nikolaos M. Tsoukias, Steven C. George, A two-compartment model of pulmonary nitric oxide exchange dynamics Journal of Applied Physiology. ,vol. 85, pp. 653- 666 ,(1998) , 10.1152/JAPPL.1998.85.2.653
A. F. Gelb, S. C. George, P. E. Silkoff, A. Krishnan, C. Fraser, C. F. Taylor, C. M. Shinar, T. Maginot, Central and peripheral airway/alveolar sites of exhaled nitric oxide in acute asthma Thorax. ,vol. 65, pp. 619- 625 ,(2010) , 10.1136/THX.2009.132696
A. H. Morice, G. A. Fontana, M. G. Belvisi, S. S. Birring, K. F. Chung, P. V. Dicpinigaitis, J. A. Kastelik, L. P. McGarvey, J. A. Smith, M. Tatar, J. Widdicombe, ERS guidelines on the assessment of cough European Respiratory Journal. ,vol. 29, pp. 1256- 1276 ,(2007) , 10.1183/09031936.00101006
Richard S. Irwin, Michael H. Baumann, Donald C. Bolser, Louis-Philippe Boulet, Sidney S. Braman, Christopher E. Brightling, Kevin K. Brown, Brendan J. Canning, Anne B. Chang, Peter V. Dicpinigaitis, Ron Eccles, W. Brendle Glomb, Larry B. Goldstein, LeRoy M. Graham, Frederick E. Hargreave, Paul A. Kvale, Sandra Zelman Lewis, F. Dennis McCool, Douglas C. McCrory, Udaya B.S. Prakash, Melvin R. Pratter, Mark J. Rosen, Edward Schulman, John Jay Shannon, Carol Smith Hammond, Susan M. Tarlo, Diagnosis and Management of Cough Executive Summary: ACCP Evidence-Based Clinical Practice Guidelines web science. ,vol. 129, ,(2006) , 10.1378/CHEST.129.1_SUPPL.1S
Anna S. Aledia, Philip E. Silkoff, Steven C. George, Peter Condorelli, Hye-Won Shin, Technique to characterize proximal and peripheral nitric oxide exchange using constant flow exhalations and an axial diffusion model Journal of Applied Physiology. ,vol. 102, pp. 417- 425 ,(2007) , 10.1152/JAPPLPHYSIOL.00533.2006
Fuhua H. Guo, Suzy A. A. Comhair, Shuo Zheng, Raed A. Dweik, N. Tony Eissa, Mary Jane Thomassen, William Calhoun, Serpil C. Erzurum, Molecular mechanisms of increased nitric oxide (NO) in asthma: evidence for transcriptional and post-translational regulation of NO synthesis. Journal of Immunology. ,vol. 164, pp. 5970- 5980 ,(2000) , 10.4049/JIMMUNOL.164.11.5970
Mauro Maniscalco, Girolamo Pelaia, Matteo Sofia, Exhaled nasal nitric oxide during humming: potential clinical tool in sinonasal disease? Biomarkers in Medicine. ,vol. 7, pp. 261- 266 ,(2013) , 10.2217/BMM.13.11
Hannu Tukiainen, Harri Stark, Minna Purokivi, Jukka Kiviranta, Jukka Randell, Short-term and seasonal variations of exhaled and nasal NO in healthy subjects. Respiratory Medicine. ,vol. 101, pp. 265- 271 ,(2007) , 10.1016/J.RMED.2006.05.009
S A Kharitonov, D H Yates, P J Barnes, Inhaled glucocorticoids decrease nitric oxide in exhaled air of asthmatic patients. American Journal of Respiratory and Critical Care Medicine. ,vol. 153, pp. 454- 457 ,(1996) , 10.1164/AJRCCM.153.1.8542158