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    Summary
    This summary is machine-generated.

    This case study details intractable paroxysmal sneezing in an adolescent, likely psychogenic. Psychological therapy led to significant symptom reduction, though parents attributed improvement to chiropractic care.

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    Area of Science:

    • Neurology
    • Psychiatry
    • Pediatrics

    Background:

    • Intractable paroxysmal sneezing can present diagnostic challenges.
    • Adolescent-onset sneezing often lacks an organic etiology.
    • Previous treatments including antihistamines and corticosteroids were ineffective.

    Observation:

    • An adolescent female presented with daily, severe sneezing attacks (up to 2000/day) for three months.
    • Symptoms included nasal congestion but no nocturnal sneezing, rhinorrhea, or ocular issues.
    • Physical examination revealed mild obesity; no organic cause was identified.

    Findings:

    • The patient's sneezing was deemed psychogenic in etiology, a common finding in similar reported cases.
    • Psychologic therapy was recommended after conventional treatments proved ineffective.

    Implications:

    • This case highlights the importance of considering psychogenic factors in intractable sneezing.
    • Psychologic interventions may offer a viable treatment option for functional sneezing disorders in adolescents.
    • Further research into the psychogenic underpinnings of paroxysmal sneezing is warranted.