A Clinical and Allergological Study on Sinusitis in Children. |
Jung Kyung Kim, Myung Ik Lee, Soon Wha Kim, Keun Chan Sohn |
Department of Pediatrics, National Medical Center, Seoul, Korea |
소아 부비동염에 대한 임상 및 알레르기학적 관찰 |
김정경, 이명익, 김순화, 손근찬 |
국립의료원 소아과 |
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Abstract |
Sinusitis, despite of common in childhood, is still somewhat difficult proiblem to pediatrician in
diagnosis and its complication, and plays a role of known one of trigerring factors in asthma.
A clinical and allergological evaluation was performed on 235 cases, who were taken paranasal
sinus X-ray at N.M.C. Pediatric OPD and in the ward from January 1985 to May 1986.
The results were as follows;
1) Sinusitis was detected in 153 cases by paranasal sinus X-ray, and male to female ratio was 2.6:1,
thereby male was more predominant than female.
2) In the age distribution, 87 cases (56.9%) of the patients were 4-8 year-old.
3) The symptoms were coughing, most common (60.7%), rhinorrhea, headache, nasal obstruction
and fever in decreasing order.
4) In 113 cases (73.8%), paranasal sinus X-ray revealed moderate to severe abnormal findings.
5) The allergy cases were 32 cases (20.9%) of sinusitis patients, and in comparing with incidence (0.
6%) of allergic disease in total N.M.C. Pediatric patients, that in sinusitis patients is high. In allergy cases,
asthma was most comon allergic disease (96.9%).
6) There is no significant differences in white blood cell count, ESR and follow-up paranasal sinus
X-ray results between allergy cases and non-allergy cases except symptoms, total eosinophils count
and IgE PRIST in serum.
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Key Words:
Sinusitis, Allergy |
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