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.

 

Abstract

BACKGROUND:

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.

OBJECTIVES:

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.

METHODS:

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.

RESULTS:

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).

CONCLUSION:

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.

 

References:

  • 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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