PMID- 38496302 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240319 IS - 2051-3380 (Print) IS - 2051-3380 (Electronic) IS - 2051-3380 (Linking) VI - 12 IP - 3 DP - 2024 Mar TI - A novel therapy for intractable chronic cough. PG - e01323 LID - 10.1002/rcr2.1323 [doi] LID - e01323 AB - Two cases of intractable chronic cough improved significantly with humidified high flow therapy (HHFT). A 59-year-old woman with Primary Sjogren's disease and interstitial lung disease, was trialled on a Fisher and Paykel myAIRVO system. She reported sustained benefits of uninterrupted sleep and increased socialization with tapering use of HHFT. A 67-year-old woman with idiopathic pulmonary fibrosis also benefited from the use of myAIRVO. She had relentless cough with minimal movement, and nocturnal cough causing fragmented sleep. Her cough subsided considerably with continuous HHFT, but recurred without. Both patients reported significant reductions in the cough visual analogue scale. The mechanisms by which HHFT improve intractable cough may include reducing airway dryness, inhibition of neutrophil inflammation and mucus obstruction, and splinting of the airways. HHFT significantly improved cough and health-related quality of life in two patients with interstitial lung disease. Further research is warranted to explore the role of domiciliary HHFT. CI - (c) 2024 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology. FAU - Bricknell, Matthew AU - Bricknell M AUID- ORCID: 0009-0006-2512-0705 AD - Department of Respiratory and Sleep Medicine Austin Health Melbourne Victoria Australia. FAU - Zhao, Chris Zi-Fan AU - Zhao CZ AUID- ORCID: 0000-0002-9223-6293 AD - Department of Respiratory and Sleep Medicine Austin Health Melbourne Victoria Australia. FAU - Smallwood, Natasha AU - Smallwood N AD - Department of Respiratory and Sleep Medicine Alfred Hospital Melbourne Victoria Australia. AD - Respiratory Research @ Alfred, Central Clinical School Monash University Melbourne Victoria Australia. FAU - Goh, Nicole AU - Goh N AD - Department of Respiratory and Sleep Medicine Austin Health Melbourne Victoria Australia. AD - Institute for Breathing and Sleep Melbourne Victoria Australia. LA - eng PT - Case Reports DEP - 20240315 PL - United States TA - Respirol Case Rep JT - Respirology case reports JID - 101631052 PMC - PMC10942843 OTO - NOTNLM OT - chronic cough OT - humidified high flow therapy OT - intractable cough COIS- Nicole Goh is an Associate Editor of Respirology Case Reports and a co-author of this article. She was excluded from all editorial decision-making related to the acceptance of this article for publication. EDAT- 2024/03/18 06:42 MHDA- 2024/03/18 06:43 PMCR- 2024/03/15 CRDT- 2024/03/18 04:35 PHST- 2024/02/08 00:00 [received] PHST- 2024/03/05 00:00 [accepted] PHST- 2024/03/18 06:43 [medline] PHST- 2024/03/18 06:42 [pubmed] PHST- 2024/03/18 04:35 [entrez] PHST- 2024/03/15 00:00 [pmc-release] AID - RCR21323 [pii] AID - 10.1002/rcr2.1323 [doi] PST - epublish SO - Respirol Case Rep. 2024 Mar 15;12(3):e01323. doi: 10.1002/rcr2.1323. eCollection 2024 Mar.