title: Intractable paroxysmal sneezing.
abstract: Intractable paroxysmal sneezing is a rare disease primarily affecting teenage girls. We present the case of a 12-year-old girl who demonstrated the classical features of intractable paroxysmal sneezing of psychogenic origin. Most of the reported cases are psychogenic in origin, but a number of other conditions may cause intractable paraoxysmal sneeze. Apart from a detailed history, clinical examination and relevant investigations, topical nasal anaesthesia should be tried for control of symptoms--that will help to differentiate psychogenic sneezing from organic sneezing. A timely diagnosis can avoid unnecessary medical trials, parental anxiety and poor school performance, as most of the patients are very young.
authors.affiliation: Department of Otolaryngology, Singleton Hospital, Swansea, UK. gpushkas@hotmail.com
authors.forename: Pushkas
authors.initials: P
authors.lastname: Gopalan
authors.forename: Simon T
authors.initials: ST
authors.lastname: Browning
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D012912:Sneezing