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Skin hypersensitivity in chronic cough patients: symptom profiles and psychosomatic correlates.

Overview

Authors: Tongyangzi Zhang1, Heng Wu2, Haodong Bai1, Jiguang Wu1, Lili Zhang3, Rongrong Li3, Yiqing Zhu1, Bingxian Sha1, Jiaying Yuan1, Yaxing Zhou1, Xianghuai Xu1, Li Yu1
  1. Department of Pulmonary and Critical Care Medicine, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
  2. Department of Psychosomatic Medicine, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
  3. Department of Dermatology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
Institutions: Tongji University (China); Tongji Hospital (China)
Journal: Annals of medicine, volume 58, issue 1, article 2638047
Dates: received 23 June 2025; accepted 22 February 2026; published online 9 March 2026; in print December 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1080/07853890.2026.2638047 · PMID 41802229 · PMCID PMC12973777 · OpenAlex W7134803895
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: behavior only (modality), human (organism), clinical / translational (subfield)
Methods: Statistics
Keywords: Chronic cough, sensitive skin syndrome, psychosomatic co-morbidity, refractory chronic cough, neuromodulator
MeSH: Chronic Cough*, Cough*, Hypersensitivity*, Psychophysiologic Disorders*, Adult, Aged, Capsaicin, Comorbidity, Female, Humans, Male, Middle Aged, Prevalence, Prospective Studies, Pruritus, Severity of Illness Index, Surveys and Questionnaires, Syndrome (* major topic)
Topic: Respiratory and Cough-Related Research (Pulmonary and Respiratory Medicine, Medicine), according to OpenAlex
Funding: the National Natural Science Foundation of China (82270114); the Program of Shanghai Municipal Health Commission Clinical Research (20244Y0147); the Program of Shanghai Academic Research Leader (22XD1422700); the Key Supported Discipline of Health System in Shanghai (2023ZDFC0302)
Citations: not cited yet (Europe PMC); 54 references in the paper

Abstract

Background: Cough hypersensitivity syndrome (CHS) is a characteristic of patients with chronic cough (CC). Sensitive skin syndrome (SSS), which is characterised by cutaneous pain and pruritus, may share neural hypersensitivity mechanisms with CHS. This study aimed to determine the co-morbidities, clinical profiles, and psychosomatic correlates in CC patients.

Methods: Two hundred CC patients were enrolled in this prospective cohort study. SSS was diagnosed according to established guidelines, which required the presence of subjective symptoms induced by minimal stimuli with at least one of the following positive criteria: Sensitive Scale-10 score > 13; Sensitive Scale-14 score > 18; lactic acid sting test score ≥ 3; or capsaicin test score ≥ 3. Assessments included cough severity, Visual Analogue Scale (VAS), capsaicin cough sensitivity, cough symptom score, Leicester cough questionnaire (LCQ), and psychological evaluations.

Results: Among CC patients, 44.5% (89/200) had SSS with a higher prevalence in refractory/unexplained CC (RU-CC) patients compared to non-RU-CC patients (63.24% vs. 34.85%; p < 0.001). SSS patients exhibited heightened cough sensitivity (lower C2/C5 thresholds; p = 0.017/0.004), higher VAS scores (p = 0.026), lower LCQ scores, and an elevated psychological burden compared to non-SSS patients. In addition, RU-CC patients with SSS had superior cough responses to neuromodulators than non-SSS patients (LCQ improvement: 2.59 ± 2.36 vs. 1.26 ± 2.53; p = 0.037; response rate: 79.3% vs. 44.4%; p = 0.029).

Conclusion: SSS was identified in a clinically relevant subset of CC patients (especially those with RU-CC) and correlated with neural hypersensitivity and psychological distress. Early recognition of SSS in patients with CC and the early introduction of neuromodulators may offer greater therapeutic benefits and improve patient outcomes.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability statement

Some or all datasets generated during and/or analyzed during the current study are not publicly available but are available from the author (TYZZ) on reasonable request.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 12 authors, 5 keywords, 18 MeSH terms, 4 funders, 54 references.

Cite

This paper

Zhang, T., Wu, H., Bai, H., Wu, J., Zhang, L., Li, R., Zhu, Y., Sha, B., Yuan, J., Zhou, Y., Xu, X., & Yu, L. (2026). Skin hypersensitivity in chronic cough patients: symptom profiles and psychosomatic correlates. Annals of medicine, 58(1), 2638047. https://doi.org/10.1080/07853890.2026.2638047

BibTeX

@article{zhang2026skin,
author = {Zhang, Tongyangzi and Wu, Heng and Bai, Haodong and Wu, Jiguang and Zhang, Lili and Li, Rongrong and Zhu, Yiqing and Sha, Bingxian and Yuan, Jiaying and Zhou, Yaxing and Xu, Xianghuai and Yu, Li},
title = {{Skin hypersensitivity in chronic cough patients: symptom profiles and psychosomatic correlates}},
journal = {Annals of medicine},
year = {2026},
month = mar,
volume = {58},
number = {1},
pages = {2638047},
publisher = {Taylor \& Francis},
issn = {0785-3890},
doi = {10.1080/07853890.2026.2638047},
url = {https://doi.org/10.1080/07853890.2026.2638047},
pmid = {41802229},
pmcid = {PMC12973777}
}

RIS

TY - JOUR
AU - Zhang, Tongyangzi
AU - Wu, Heng
AU - Bai, Haodong
AU - Wu, Jiguang
AU - Zhang, Lili
AU - Li, Rongrong
AU - Zhu, Yiqing
AU - Sha, Bingxian
AU - Yuan, Jiaying
AU - Zhou, Yaxing
AU - Xu, Xianghuai
AU - Yu, Li
TI - Skin hypersensitivity in chronic cough patients: symptom profiles and psychosomatic correlates
T2 - Annals of medicine
J2 - Ann Med
PY - 2026
DA - 2026/03/09
VL - 58
IS - 1
SP - 2638047
SN - 0785-3890
PB - Taylor & Francis
DO - 10.1080/07853890.2026.2638047
UR - https://doi.org/10.1080/07853890.2026.2638047
LA - en
ER -

CSL-JSON

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