All issues > Volume 30(11); 1987

Original Article

J Korean Pediatr Soc. 1987;30(11):1236-1242. Published online November 30, 1987.

A Clinical and Allergological Study on Sinusitis in Children.

Jung Kyung Kim¹, Myung Ik Lee¹, Soon Wha Kim¹, Keun Chan Sohn¹

¹Department of Pediatrics, National Medical Center, Seoul, Korea

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.

Keywords :Sinusitis; Allergy