Cough Variant Asthma (CVA)

  It is one of the most common causes of chronic cough in children, with cough as the only or main manifestation, without significant wheezing.  Diagnosis is based on: (1) cough lasting >4 weeks, often with episodes or exacerbations at night and/or early morning, with a predominantly dry cough; (2) no clinical signs of infection or ineffective with prolonged antibiotic therapy; (3) effective diagnostic treatment with anti-asthmatic drugs; (4) exclusion of other causes of chronic cough; (5) positive bronchial excitation test and/or daily variability of PEF (continuous monitoring for l to 2 weeks ) ≥ 20%; (6) personal or first- or second-degree relative special.