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Sinusitis. Its association with asthma.

A M Herrera1, R D deShazo

  • 1Department of Pediatrics, Allergy, Asthma and Immunology Center, Mobile, AL 36689.

Postgraduate Medicine
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

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Sinusitis in children can be subtle, often presenting only with cough and rhinorrhea, potentially delaying diagnosis. This condition may also trigger or worsen asthma, necessitating its consideration in difficult-to-control cases.

Area of Science:

  • Pediatric infectious diseases
  • Respiratory medicine
  • Diagnostic imaging

Background:

  • Sinusitis can present atypically in children, mimicking other conditions like common colds.
  • Classic sinusitis symptoms may be absent, leading to missed or delayed diagnoses.
  • The relationship between sinusitis and asthma is complex and not fully understood.

Purpose of the Study:

  • To highlight the subtle presentations of sinusitis in children.
  • To discuss diagnostic modalities for sinusitis.
  • To explore the link between sinusitis and asthma exacerbation.

Main Methods:

  • Review of clinical presentations of sinusitis in pediatric populations.
  • Comparison of diagnostic imaging techniques, including plain radiography and computed tomography (CT).

Related Experiment Videos

  • Analysis of existing literature on the association between sinusitis and asthma.

    • Main Results:

    • Sinusitis may present indolently in children, with symptoms like persistent cough and rhinorrhea being key indicators.
    • Computed tomography (CT) may offer greater sensitivity than plain radiography for diagnosing sinusitis.
    • While a nasobronchial reflex lacks strong evidence, sinusitis is identified as a significant trigger for some asthma cases.

    Conclusions:

    • Pediatric sinusitis requires a high index of suspicion, especially in children with persistent cough and rhinorrhea.
    • CT scans are recommended for more sensitive sinusitis diagnosis.
    • Sinusitis should be considered in managing difficult-to-control asthma.