Table 1

Details of investigations of the respiratory and allied systems to determine the cause of cough

Patient 1Patient 2Patient 3Patient 4Patient 5
Chestx ray filmNormalNormalNormalNormalNormal
CT thoraxNormalPeribronchial shadowing R upper zone
Spirometry (observed/expected (n (%)))
Vital capacity (l)5.4 (104)1.9 (89)2.4 (114)2.9 (104)2.8 (117)
 FEV1 (l)4.5 (110)1.6 (90)1.8 (126)2.4 (109)2.0 (99)
 FEV/VC (%)83 (108)84 (91)73 (112)83 (98)71 (91)
 Peak expiratory flow  rate (l/min)710 (114)450 (90)315 (106)475 (117)147 (50)
 Transfer factor (TLCO)  (ml/min/mm Hg)26 (74)6.3 (105)25 (109)15.1 (72)
BronchoscopyNormalNormal
NasolaryngoscopySmall pharyngeal pouch “not functionally significant”NormalNormalMild rhinitisNormal
Cine-video fluoroscopyMinimal pooling in valleculae and pyriform fossae. Reduced tongue base contractionsMinimal reduction in tongue base motilityMild reduction in tongue base contractions
OGDSmall hiatus herniaSmall hiatus herniaNormalNormal
Capsaicin challengeIncreased sensitivityIncreased sensitivityIncreased sensitivity
  • OGD=oesophagogastroduodenoscopy; FEV1=forced expiratory flow in 1 minute; —=not performed; TLCO=transfer coefficient for carbon monoxide.