Psychogenic cough in children: Clinical, laboratory characteristics and follow- up

摘要: Aim – Method: Clinical and laboratory characteristics of 201 children, (51.2% boys), aged 4.5 - 18 years with psychogenic cough were analyzed retrospectively. Children seen as outpatients, over an eleven year period (2002-2012). Half the children re-evaluated 6.95 (±3.4) later via a telephone conduct. Results:. characteristics: mean duration cough: 5.26 ± 3.1 months harsh explosive (75%), croupy barking (7.96%), exacerbating in presence medical staff (62%), disappearing sleep (98%), not exacerbated exercise (82%), accompanied wheeze (96.5%). Fifty –two percent appeared to be under psychological stress. Fifty-five had received antitussives, beta-2 agonists, inhaled steroids, anti-leucotrienes, anti-histamines, or oral no response. Physical examination lung function tests normal (FEV1: 101.9± 13.8% FVC: 104.3 ±15.7%). Explanation origin re-assurance helpful for 82% patients. Ninety-three (46.3%) evaluated later. Cough was completely resolved among 86% them. Fifteen whose resolved, 1-3 relapses, responding anti-asthmatic treatment. Conclusions: The recognition characteristic pattern child school age chronic non-specific will result early diagnosis treatment, avoiding unnecessary expensive tests. Re-assurance explanation resolution majority cases.