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Papers of the Week


2022 Jul 24


Malays Fam Physician


17


2

Case report of chronic cough in primary care: a diagnostic challenge and lessons to learn.

Authors

Azmi N H, A Bakar A, Md Aris M A, Sharman Khamis Roslee N
Malays Fam Physician. 2022 Jul 24; 17(2):107-111.
PMID: 35950003.

Abstract

Cough is one of the most common complaints seen at the outpatient primary health clinic. While the most common aetiologies of chronic cough are asthma, chronic obstructive pulmonary disease, postnasal drip, gastroesophageal reflux disease, drug-induced, and tuberculosis, we often overlook that chronic cough, especially in a young female, can be the initial presenting complaint of an autoimmune disease. In this case report, we present a case of 35-year-old woman with no known prior medical illness who presented with chronic cough for 1 year with no other symptoms initially; but later in the disease course, the patient complained of multiple, symmetrical small joint pain, which led us to the diagnosis of seronegative rheumatoid arthritis.