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. 2023 Nov 23;10(1):e000883. doi: 10.1136/bmjgast-2022-000883

Table 4.

Clinical features reported in association with unexplained chronic throat symptoms

Chronic inflammation—chronic laryngitis (CL) Functional throat disorders (FTD)
Common pathophysiology Chronic non-eosinophilic inflammation of the ADT Chronic eosinophilic inflammation of the ADT Abnormal sensory or motor function within the ADT or components, without clear organic disease correlates
Aetiology GORD Aeorsolised irritants Voice behaviours Aerosolised allergens Aerodigestive sensory/reflex dysfunction Aerodigestive motor dysfunction
Diagnoses LPR, EER, RL OL, WAL, WUACS, WAILS, OCS VA, VTL, SD, MTD LA, AL ILS, LH, SLN, LD, CHS, ICC, RCC, GP LD, MTD, FD, LHS, UESD, CPS, VCD, PVFM, STD
Reported symptoms
 Cough ++ ++ ++ ++ ++ ++
 Dysphonia ++ ++ +++ ++ ++ ++
 Dysphagia + + + + ++ +++
 Globus ++ + + + +++ ++
 Paraesthesia ++ ++ ++ ++ + +
 Throat clearing ++ ++ ++ +++ ++ ++
Reported nasoendoscopic findings
 Features of mucosal inflammation ++ ++ ++ ++ ++ ++
 Vocal cord dysfunction + + ++ + ++ ++
 Abnormal muscle tone or coordination ++ ++ +++ ++ +++ +++
Sensitive and specific clinical findings or biochemical markers No No No No No No

AL, allergic laryngitis; CHS, cough hypersensitivity syndromes; CPS, cricopharyngeal spasm; EER, extraesophageal reflux; FD, functional dysphonia; GORD, gastro-oesophageal reflux disease; GP, Globus pharyngeus; ICC, idiopathic chronic cough; ILS, irritable larynx syndrome; LA, laryngeal allergy; LD, laryngeal dysfunction; LH, laryngeal hypersensitivity; LHS, laryngeal hyperfunction syndromes; LPR, laryngopharyngeal reflux; MTD, muscle tension dysphonia; OCS, occupational cough syndrome; OL, occupational laryngitis; PVFM, Paradoxical vocal fold movement (excluding inducible laryngeal obstruction); RCC, refractory chronic cough; RL, reflux laryngitis; SD, Singers dysphonia; SLN, superior laryngeal nerve neuropathy; STD, supraglottic tension dysphonia ; UESD, upper oesophageal sphincter dysfunction; VA, vocal abuse; VCD, vocal cord dysfunction; VTL, vocal tension laryngitis; WAILS, Workplace associated irritable larynx syndrome OCS ; WAL, workplace-associated laryngitis; WUACS, Workplace upper airway cough syndrome .