EDITORIAL
Chronic cough in children
Diagnosing chronic cough in children
Correspondence to:
Correspondence to:
Dr M D Shields
Department of Child Health, The Queen’s University of Belfast, Clinical Institute, Belfast BT12 6BJ, UK; m.shields@qub.ac.uk
Further scientific evidence for the usefulness of signs and symptoms in predicting a specific cause of chronic cough in children
Keywords: chronic cough; children; diagnosis
| The first 150 words of the full text of this article appear below. |
Problem coughing is common in children and can be produced by almost all the respiratory disorders that affect them. Rather than applying a comprehensive battery of tests to all children, most doctors use clinical pointers in the history and examination to determine the need for and targeting of investigations. Indeed, experienced clinicians usually use more than one single feature or diagnostic test and bring together bits of the history, clinical examination, and selective investigative tests to arrive at a diagnosis. Typical clinical cues recommended to be used in evaluating cough include (1) age of symptom onset, (2) quality of the cough, (3) triggers, periodicity and timing of cough, and (4) associated features such as wheezing.1
Recent evidence suggests that parents do not report the frequency or severity of cough accurately.2,3 However, work from Professor Chang’s unit has shown that parental reporting of wet versus dry cough
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This article has been cited by other articles:
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Chang, A. B., Gibson, P. G., Ardill, J., McGarvey, L. P. A.
(2007). Calcitonin gene-related peptide relates to cough sensitivity in children with chronic cough. Eur Respir J
30: 66-72
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