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【drug-news】【资讯翻译】他汀类药物治疗引发慢性咳嗽

未知医学生 · 最后编辑于 2022-10-09 · IP 辽宁辽宁
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这个帖子发布于 12 年零 285 天前,其中的信息可能已发生改变或有所发展。
http://www.medscape.com/viewarticle/768504?src=rss
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Abstract

Statins are widely used for primary and secondary prevention of cardiovascular disease. For this reason, knowledge of the side effects and interactions pertaining to this class of pharmaceuticals is of utmost importance to all physicians. In this text a case report is presented of an eighty year old gentleman, referred to the respiratory clinic at Mater Dei Hospital Malta after developing dry cough on being treated with simvastatin and fluvastatin. An attempt at switching over to a placebo was made with resolution of symptoms. This is the second described case in the literature of lone cough associated with statin therapy necessitating treatment discontinuation in our patient. Possible hypothesis are discussed as well as suggestions for further research to unravel the underlying mechanisms of this association.

Introduction

Chronic persistent cough unresponsive to symptomatic treatment or persisting despite treatment of the underlying cause remains a common cause of referral for assessment by respiratory physicians. Chronic cough is said to be present when the duration of the cough exceeds 8 weeks and many causes have been implicated [Chung and Pavord, 2008]. Despite a thorough assessment, examination and use of relevant investigations, a cause may still not be identified thus constituting a diagnosis of idiopathic cough. However, the increased incidence of patients being positive to organ-specific autoantibodies suggests an association between idiopathic chronic cough and organ-specific autoimmunity














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