• Chest · Mar 2014

    Usefulness of FeNO in the Diagnosis of Chronic Cough.

    • Vijo Poulose.
    • Chest. 2014 Mar 1;145(3 Suppl):567A.

    Session TitleSymptoms of Respiratory Disease PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: FeNO (fractional exhaled nitric oxide) may help identify cases of NAEB (nonasthmatic eosinophilic bronchitis) or asthma. The aim of this study is to evaluate the utility of FeNO in the evaluation of chronic coughMethodsChart review of patients referred to the respiratory clinic for evaluation of chronic cough over a 3 year period (January 2010 to December 2012) was performed. FeNO testing was only done when the diagnosis was not clear from the initial history, physical exam or radiography. A FeNO level > 25 ppb was considered high. A diagnosis of NAEB was made only in patients with a high FeNO, negative methacholine test and responded to inhaled/oral steroidsResultsOf the 200 patients seen, FeNO testing was done in 24 patients, of which 3 patients defaulted follow-up. In the remaining 21 cases, FeNO helped provide a diagnosis in 6 (NAEB - 4, asthma -2)CONCLUSIONS: FeNO testing is a useful, non-invasive tool that can aid in the evaluation of chronic cough, especially considering the practical difficulty in sending sputum for eosinophilia testingClinical ImplicationsIn patients where the etiology of cough is not readily apparent from the history, physical exam or radiography, FeNO testing can be consideredDisclosureThe following authors have nothing to disclose: Vijo PouloseNo Product/Research Disclosure Information.

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