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 B12 & unexplained coughs

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Join date : 2009-07-26
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B12 & unexplained coughs Empty
PostSubject: B12 & unexplained coughs   B12 & unexplained coughs EmptyMon Mar 14, 2011 3:51 am

Here's a study on an aspect of B12 I've not hear about before - if this study is right then some unexplained coughs can be traced to low B12. Basically they tested people before & after B12 injections & compared it to those who didn't get B12 injections - as I haven't got access to the full study I'm not sure if they injected those not getting B12 with a placebo - I certainly hope so as injections alone can have a profound placebo effect on patients.

Anyway here's the abstract of the study:
Quote :

Am J Clin Nutr. 2011 Mar;93(3):542-8. Epub 2011 Jan 19.
Unexplained chronic cough and vitamin B-12 deficiency.

Bucca CB, Culla B, Guida G, Sciascia S, Bellone G, Moretto A, Heffler E, Bugiani M, Rolla G, Brussino L.

Departments of Clinical Pathophysiology and Biomedical Science and Human Oncology, University of Turin, Turin, Italy, and the Unit of Pneumology, Consorzio Provinciale Antitubercolare, Local Health Agency Turin 2, Turin, Italy.

BACKGROUND: Chronic cough is characterized by sensory neuropathy. Vitamin B-12 (cobalamin) deficiency (Cbl-D) causes central and peripheral nervous system damage and has been implicated in sensory neuropathy and autonomic nervous system dysfunction.

OBJECTIVE: We evaluated whether Cbl-D has a role in chronic, unexplained cough.

DESIGN: Laryngeal threshold (histamine concentration that provokes a 25% decrease in the midinspiratory flow), bronchial threshold (histamine concentration that provokes a 20% decrease in the forced expiratory volume in 1 s), and cough threshold (histamine concentration that causes ≥5 coughs) in response to an inhaled histamine were assessed in 42 patients with chronic, unexplained cough [27 Cbl-D patients and 15 patients without Cbl-D (Cbl-N)] before and after intramuscular injections of cobalamin for 2 mo. Laryngeal, bronchial, and cough hyperresponsiveness was diagnosed when histamine concentration thresholds were ≤8 mg/mL. Seven Clb-D and 3 Cbl-N patients underwent an oropharyngeal biopsy before treatment.

RESULTS: Cbl-D patients had a higher prevalence of laryngeal hyperresponsiveness than did Cbl-N patients (92.6% compared with 66.7%; P = 0.03), a thinner oropharyngeal epithelium [133.7 μm (95% CI: 95, 172 μm) compared with 230.8 μm (95% CI: 224, 237 μm); P = 0.002], a lower number of myelinated nerve fibers [2.25/mm(2) (95% CI: 1.8, 2.7/mm(2)) compared with 3.44/mm(2) (95% CI: 3, 3.8/mm(2)); P = 0.05], and a higher immunoreactive score for nerve growth factor (NGF) [6.7 (95% CI: 6, 7.3) compared with 2.8 (95% CI: 2.5, 3.1); P = 0.02]. After cobalamin supplementation, symptoms and laryngeal, bronchial, and cough thresholds were significantly improved in Cbl-D but not in Cbl-N patients.

CONCLUSIONS: This study suggests that Cbl-D may contribute to chronic cough by favoring sensory neuropathy as indicated by laryngeal hyperresponsiveness and increased NGF expression in pharyngeal biopsies of Cbl-D patients. Cbl-D should be considered among factors that sustain chronic cough, particularly when cough triggers cannot be identified.
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