Tosse em pediatria

Martins, Susana; de Moura, Marta Carneiro; Margarida Neves, Ana; Costa Trindade, José

doi:10.1016/S2173-5115(08)70279-3

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Article information

Abstract

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Resumo

A tosse é provavelmente o sintoma mais frequente na criança e, consequentemente, um dos principais motivos de consulta em pediatria. Os mecanismos e as causas da tosse na criança diferem das do adulto e, por esse motivo, é necessária uma diferente abordagem diagnóstica e terapêutica. Este artigo de revisão abrange a fisiopatologia da tosse na criança, as causas mais frequentes, a avaliação diagnóstica inicial e a orientação terapêutica.

Palavras-chave:

Tosse

pediatria

crianças

adultos

fisiopatologia

causas

classificação

diagnóstico

terapêutica

Abstract

Cough is perhaps the most frequently seen symptom in children and as such one of the most common reasons for physician appointments. The mechanics and causes of cough in children are different to those in adults and imply a different diagnostic and therapeutic management. This article reviews the physiopathology of cough in children, the most frequent causes, the initial evaluation and the treatment slant.

Key-words:

Cough

paediatric

adults

physiopathology

causes

classification

diagnostic

therapeutics

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Bibliografia

[1.]

A.B. Chang, et al.

Cough in children: definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand.

MJA, 184 (2006), pp. 398-403

Medline

[2.]

A.B. Chang.

Cough: are children really different to adults?.

Cough, 1 (2005), pp. 7

http://dx.doi.org/10.1186/1745-9974-1-7 | Medline

[3.]

Victor Chernick, et al.

Kendig's Disorders of respiratory tract in children, 7th ed., Saunders, (2006),

[4.]

Marchant JM, et al. Evaluation and outcome of young children with chronic cough. Chest 2006 In press.

[5.]

J. Martins Palminha, Eugénia Monteiro Andrade. In: Orientação Diagnóstica e Pediátrica. 1st ed. Lidel, 2003: 294–297.

[6.]

A.B. Chang, W.B. Glomb.

Guidelines for evaluating chronic cough in pediatrics: evidence-based clinical practise guidelines.

Chest, 129 (2006), pp. 260S-283S

http://dx.doi.org/10.1378/chest.129.1_suppl.260S | Medline

[7.]

Behrman, Kligman, Jenson. Nelson – Textbook of Pediatrics. 16th ed. Saunders 2000: 1311–2.

[8.]

J.M. Marchant, et al.

Utility of signs and symptoms of chronic cough in predicting specific cause in children.

Thorax, 61 (2006), pp. 694-698

http://dx.doi.org/10.1136/thx.2005.056986 | Medline

[9.]

S.S. Braman.

Posinfectious cough: ACCP evidence-based clinical guidelines.

Chest, 129 (2006), pp. 138S-146S

http://dx.doi.org/10.1378/chest.129.1_suppl.138S | Medline

[10.]

R.S. Irwin, et al.

Interpreting the histopathology of chronic cough: controlled, comparative study.

Chest, 130 (2006), pp. 362-370

http://dx.doi.org/10.1378/chest.130.2.362 | Medline

[11.]

N.S. Crowncroft, R.G. Pebody.

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