Update Abstract Choice: Sinusitis and Chronic Cough in Children.
J Asthma Allergy. 2012;5:27-32. Epub 2012 Jul 3.
Sinusitis and chronic cough in children.
Wilson NW, Hogan MB, Harper CB, Peele K, Budhecha S, Loffredo V, Wong V.
Chronic cough in children is a common problem, and sinusitis is a common etiology. The diagnosis of sinusitis is often clinical, but confirmation is thought to require a CT scan due to the difficulty of interpreting a Water’s view sinus X-ray.
The purposes of the study were (1) to examine the frequency of an abnormal sinus X-ray in children with a chronic cough of more than 4 weeks duration; (2) to compare the interpretation of the sinus film between allergy/pulmonary clinicians and radiologists; and (3) to correlate symptoms with X-ray results.
A chart review of 2- to 18-year-old patients with coughing exceeding 4 weeks was performed. Data was collected for patients who had received a Water’s view sinus film as part of their evaluation. Exam, X-ray results, and clinical outcomes were categorized and statistical analyses performed.
A total of 86 patients were included. Clinicians found that 65% of the children had positive Water’s view films, compared with the radiologist’s reading of 62% (non significant). Significant associations between post-tussive emesis (P = 0.01) and purulence (P = 0.03) were noted with a positive film. Positive sinus X-ray was highly associated with all findings except wheeze when present together (P < 0.001).
Sinus abnormalities on X-ray are associated with prolonged cough in 65% of children. The Water’s view sinus film is a clinically useful screening tool for clinicians in the workup of chronic cough. Certain physical findings and clinical complaints, when present concurrently, correlate with the X-ray results.
Source: University of Nevada School of Medicine, Department of Pediatrics, Section of Allergy, Immunology and Pulmonology, Reno, NV, USA.
- Morice AH, Fontana GA, Sovijarvi AR, et al. The diagnosis and management of chronic cough. Eur Respir J. 2004;24:481–492
Khoshoo V, Edell D, Mohnot S, Haydel R, Jr, Saturno E, Kobernick A. Associated factors in children with chronic cough. Chest. 2009;136:811–815
Welch JE, Hogan MB, Wilson NW. Ten-year experience using a plastic, disposable curette for the diagnosis of primary ciliary dyskinesia. Ann Allergy Asthma Immunol. 2004;93:189–192
Hogan MB, Wilson NW. Tourette’s syndrome mimicking asthma. J Asthma. 1999;36(3):253–256
Barbi E, Longo G. Chronic and recurrent cough, sinusitis and asthma. Much ado about nothing. Pediatr Allergy Immunol. 2007;18(Suppl 18):22–24
- Yun DJ, Hong CH, Oh KK. Chronic cough and sinusitis in children – the role of antimicrobials. Yonsei Med J. 1983;24(1):67–75
Zuckerman IH, Perencevich EN, Harris AD. Concurrent acute illness and comorbid conditions poorly predict antibiotic use in upper respiratory tract infections: a cross-sectional analysis. BMC Infect Dis. 2007;7:47. 30.
Ramadan HH. Pediatric sinusitis: update. J Otolaryngol. 2005;34(Suppl 1):S14–S17
Chang AB. Chronic non-specific cough in children. Paediatr Child Health. 2008;18(7):333–339.
Chang AB, Redding GJ, Everard ML. Chronic wet cough, chronic suppurative lung disease and bronchiectasis. Pediatr Pulmonol. 2008;43(6):519–531
Marchant JM, Masters IB, Taylor SM, Cox NC, Seymour GJ, Chang AB. Evaluation and outcome of young children with chronic cough. Chest. 2006;129(5):1132–1141
Zgherea D, Pagala S, Mendiratta M, Marcus MG, Shelov SP, Kazachkov M. Bronchoscopic findings in children with chronic wet cough. Pediatrics. 2012;129(2):e364–e369
Lin SW, Wang YH, Lee MY, et al. Clinical spectrum of acute rhinosinusitis among atopic and nonatopic children in Taiwan. Int J Pediatr Otorhinolaryngol. 2012;76(1):70–75
Ogershok PR, Warner DJ, Hogan MB, Wilson NW. Prevalence of pollen sensitization in younger children who have asthma. Allergy Asthma Proc. 2007;28:654–658
Leo G, Triulzi F, Incorvaia C. Sinus imaging for diagnosis of chronic rhinosinusitis. Curr Allergy Asthma Rep. 2012;12:136–143.
16. White PS, Robinson JM, Stewart IA, Doyle T. Computerized tomography mini-series: an alternative to standard paranasal sinus radiographs. Aust N Z J Surg. 1990;60:25–29
Mulkens TH, Broers C, Fieuws S, Termote JL, Bellnick P. Comparison of effective doses for low-dose MDCT and radiographic examination of sinuses in children. AJR Am J Roentgenol. 2005;184(5):1611–1618
Tatli MM, San I, Karaoglanoglu M. Paranasal sinus computed tomographic findings of children with chronic cough. Int J Pediatr Otorhinolaryngol. 2001;60(3):213–217
Garcia DP, Corbett ML, Eberly SM, et al. Radiographic imaging studies in pediatric chronic sinusitis. J Allergy Clin Immunol. 1994;94:523–530
Williams JW, Roberts L, Distell B, et al. Diagnosing sinusitis by X-ray: is a single Waters view adequate? J Gen Intern Med. 1992;7(5):481–485
Ros SP, Herman BE, Azar-Kia B. Acute sinusitis in children: is the Water’s view sufficient? Pediatr Radiol. 1995;25(4):306–307
Kovatch AL, Wald ER, Ledesma-Medina J, Chiponis DM, Bedingfield B. Maxillary sinus radiographs in children with nonrespiratory complaints. Pediatrics. 1984;73(3):306–308
Yang L, Tang D, Duan C, et al. The character of pediatric chronic sinusitis with chronic cough. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007;21(17):779–781
Hsin CH, Su MC, Tsao CH, Chuang CY, Liu CM. Bacteriology and antimicrobial susceptibility of pediatric chronic rhinosinusitis: a 6-year result of maxillary sinus punctures. Am J Otolaryngol. 2010;31(3):145–149
Ueda D, Yoto Y. The ten-day mark as a practical diagnostic approach for acute paranasal sinusitis in children. Pediatr Inf Dis J. 1996;15(7):576–579.
Nguyen KL, Corbett ML, Garcia DP, et al. Chronic sinusitis among pediatric patients with chronic respiratory complaints. J Allergy Clin Immunol. 1993;92(6):824–830
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