Difficulties in diagnosing GERD in the absence of esophageal manifestations. Clinical observation

The tendency towards an increase in the incidence of GERD served as the basis for the announcement of the slogan "XX century is the century of peptic ulcer disease, XXI century is the century of GERD" at the 6th European Gastroenterological Week (Birmingham, 1997). The article presents a clinical observation of a patient suffering from gastroesophageal reflux disease. The interest and peculiarity of the case lies in the difficulty of making the above-mentioned diagnosis, when the disease is manifested by extraesophageal symptoms: hoarseness, nasal congestion, glossitis, coughing, and cardiac pathology. In this case, the only manifestation of gastroesophageal reflux disease was persistent dry cough.