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[Chronic cough in childhood].

M Pradal1, K Retornaz, A Poisson

  • 1Service de Pneumologie, Hôpital Paul Desbief, Marseille, France. scp.pegliasco@wanadoo.fr

Revue Des Maladies Respiratoires
|November 13, 2004
PubMed
Summary

Chronic cough in children requires precise diagnosis for effective treatment. New methods like induced sputum studies aid in identifying causes such as eosinophilic bronchitis, improving outcomes.

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Area of Science:

  • Pediatric Pulmonology
  • Diagnostic Medicine

Context:

  • Chronic cough, defined as lasting over three weeks, presents diagnostic challenges in children.
  • Common causes include cough variant asthma, postnasal drip, and gastro-esophageal reflux, with age-specific considerations like malformations and psychogenic cough.

Purpose:

  • To review the diagnostic approaches and etiologies of chronic cough in childhood.
  • To highlight the role of emerging diagnostic techniques and their therapeutic implications.

Summary:

  • Chronic cough in children necessitates a thorough investigation, considering both anatomical factors and symptom frequency.
  • Advancements like induced sputum analysis refine diagnosis, particularly for eosinophilic bronchitis, which responds well to corticosteroids.
  • Future techniques such as exhaled nitric oxide measurements are expected to further improve diagnostic accuracy.

Impact:

  • Accurate diagnosis is crucial for effective management and resolution of chronic cough in pediatric patients.
  • Identifying specific conditions like eosinophilic bronchitis leads to targeted, corticosteroid-based therapies.
  • Ongoing development of diagnostic tools promises enhanced future care for children with chronic cough.

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