What cause of chronic cough presents with a cobblestone appearance of the pharyngeal mucosa?

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Differential Diagnosis for Chronic Cough with Cobblestone Appearance of the Pharyngeal Mucosa

  • Single most likely diagnosis
    • Postnasal drip syndrome (also known as upper airway secretion syndrome): This condition is characterized by the presence of excess mucus in the nasal passages, which can drip down the back of the throat and cause irritation, leading to a chronic cough. The cobblestone appearance of the pharyngeal mucosa is often seen in this condition due to the chronic inflammation and edema of the mucous membranes.
  • Other Likely diagnoses
    • Allergic rhinitis: This condition can cause chronic inflammation and excess mucus production in the nasal passages, leading to postnasal drip and a chronic cough. The cobblestone appearance of the pharyngeal mucosa can be seen in allergic rhinitis due to the chronic allergic inflammation.
    • Non-allergic rhinitis: This condition can also cause chronic inflammation and excess mucus production in the nasal passages, leading to postnasal drip and a chronic cough. The cobblestone appearance of the pharyngeal mucosa can be seen in non-allergic rhinitis due to the chronic inflammation.
  • Do Not Miss diagnoses
    • Laryngopharyngeal reflux (LPR): This condition can cause chronic inflammation and irritation of the pharyngeal mucosa, leading to a chronic cough and a cobblestone appearance. LPR can be more difficult to diagnose than gastroesophageal reflux disease (GERD) and can have more severe consequences if left untreated.
    • Granulomatosis with polyangiitis (GPA): This is a rare autoimmune disorder that can cause chronic inflammation and damage to the respiratory tract, including the pharyngeal mucosa. GPA can present with a chronic cough and a cobblestone appearance of the pharyngeal mucosa, and it is important to consider this diagnosis to avoid missing a potentially life-threatening condition.
  • Rare diagnoses
    • Sarcoidosis: This is a rare autoimmune disorder that can cause chronic inflammation and granuloma formation in various parts of the body, including the respiratory tract. Sarcoidosis can present with a chronic cough and a cobblestone appearance of the pharyngeal mucosa, although this is a rare manifestation of the disease.
    • Relapsing polychondritis: This is a rare autoimmune disorder that can cause chronic inflammation and damage to the cartilaginous structures of the body, including the respiratory tract. Relapsing polychondritis can present with a chronic cough and a cobblestone appearance of the pharyngeal mucosa, although this is a rare manifestation of the disease.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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