Clinical characteristics of habit cough
Loud and repetitive (softer throat clearing variant in some) |
Absent once asleep (sine qua non) |
Mainly in children and adolescents |
Affects both sexes |
Duration ranges from weeks to many months |
No consistent response to bronchodilators, steroids, antibiotics or antitussive medications |
Multiple unscheduled visits for medical care and even hospitalisation are common |
Normal physical examination other than cough; associated tics are rarely present |
All clinical testing is otherwise normal |
Initial respiratory illness such as a viral respiratory infection (common cold) is common |
Commonly misdiagnosed as asthma |
School is often missed because of cough |
Secondary gain or school phobia is uncommonly associated |