Dtsch Med Wochenschr 2018; 143(17): 1258-1271
DOI: 10.1055/s-0043-109521
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Husten – Differenzialdiagnosen

Cough and its Differential Diagnosis
Andrea Koch
,
Jürgen Behr
Further Information

Publication History

Publication Date:
22 August 2018 (online)

Abstract

A thorough anamnesis and the physical examination of a patient with cough mostly lead the way to the further diagnostic and therapeutic procedure. As far as there are no obvious reasons for the cough symptoms, any case of persisting chronic cough needs a diagnostic clarification – including computed tomography of the thorax and bronchoscopy as the final step. If clinical findings make them necessary, also invasive diagnostic procedures – such as bronchoscopy, thoracoscopy and surgical biopsy of the lung – must not be avoided. According to the clinical presentation appropriate medical disciplines have to be consulted for the diagnostic clarification of chronic cough. Besides pulmonology und allergology these are ENT medicine, gastroenterology, cardiology, infectiology, neurology and possibly psychiatry. The therapy of chronic and acute cough should be aimed at a causal treatment approach.

Während akuter Husten meist durch eine Atemwegsinfektion verursacht wird, stellt der chronische Husten oft eine differenzialdiagnostische Herausforderung dar. Dieser Artikel schildert anhand eines konkreten Falls die aufwendige Diagnostik, die gegebenenfalls zur Abklärung des chronischen Hustens erforderlich ist. Danach werden die wichtigsten Differenzialdiagnosen des chronischen Hustens näher betrachtet und die therapeutischen Optionen aufgezeigt.