Evaluation of Chronic Cough Etiologies in Children

Authors : Özge YILMAZ TOPAL

Pages : 227-232

Doi:10.12956/tchd.1216596

View : 120 | Download : 133

Publication Date : 2023-05-29

Article Type : Research Paper

Abstract :Objective: Cough is one of the leading causes of hospitalization in children worldwide. It should be considered important because it can be a symptom of various serious diseases and affects the quality of life of the child. A differential diagnosis should be performed on all children with a chronic cough. This study aimed to determine the etiologies in patients evaluated for chronic cough. Material and Methods: The study included patients admitted to the pediatric immunology and allergy outpatient clinic, with the complaint of chronic cough between the ages of 0–18 years. Clinical and demographic characteristics of patients were recorded. Results: This study included 323 patients between the ages of 0-18years. The median age of the patients was 7 insert ignore into journalissuearticles values(interquartile range: 5-9.7); years. One hundred and forty five insert ignore into journalissuearticles values(45%); of the patients were female. One hundred seventy-nine insert ignore into journalissuearticles values(55.4%); patients had a family history of atopic diseases such as asthma and/or allergic rhinitis. The presence of aeroallergen sensitivity was demonstrated in 127 patients. One hundred and forty-four insert ignore into journalissuearticles values(44.6%); patients were diagnosed with asthma, 75 insert ignore into journalissuearticles values(23.2%); patients with wheezing, 54 insert ignore into journalissuearticles values(16.7%); patients with post-infectious cough, 43 insert ignore into journalissuearticles values(13.3%); patients with postnasal drip syndrome, 4 insert ignore into journalissuearticles values(1.2%); patients with gastroesophageal reflux, 2 insert ignore into journalissuearticles values(0.6%); patients with foreign body aspiration, and 1 insert ignore into journalissuearticles values(0.3%); patient with psychogenic cough. Moreover, two patients with asthma, and one patient with wheezing had reflux symptoms in addition to the diagnosis of asthma and wheezing. One patient was found to have a partial IgA deficiency, and 18 patients had hypogammaglobulinemia. Immunoglobulin replacement therapy was initiated for a patient with hypogammaglobulinemia. Of the 219 patients diagnosed with asthma or wheezing, 144 had an atopic disease in the family insert ignore into journalissuearticles values(p<0.001);. It was found that one hundred and eighty-five patients insert ignore into journalissuearticles values(57.3%); had domestic smoke exposure. Furthermore, smoke exposure was observed in 58 insert ignore into journalissuearticles values(77.3%); of 75 patients under the age of 6 years who were followed up with the diagnosis of wheezing insert ignore into journalissuearticles values(p= 0.010);. Conclusion : In our study, asthma, which is one of the most common causes of chronic cough in the literature, was found to be the most common cause. For a correct approach when making a differential diagnosis in pediatric patients presenting with chronic cough, the patient’s history, physical examination, laboratory tests, and risk factors should be evaluated as a whole with systematic evaluation.
Keywords : kronik öksürük, çocuk, astım, hışıltılı çocuk