Chronic productive cough in young adults is very often due to chronic rhino-sinusitis

https://doi.org/10.4081/monaldi.2007.495

Authors

  • A.G. Corsico | angelo.corsico@unipv.it Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • S. Villani Department of Health Applied Science, University of Pavia, Italy.
  • M.C. Zoia Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • R. Niniano Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • E. Ansaldo Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • G. Cervio Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • P.M. Quaresima Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • E. Gatto Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • E. Crippa Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • A. Marinoni Department of Health Applied Science, University of Pavia, Italy.
  • A. Foresi Respiratory Pathophysiology Unit, Sesto San Giovanni Hospital, Sesto San Giovanni (MI), Italy.
  • E. Pozzi Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.
  • I. Cerveri Division of Respiratory Diseases, IRCCS Policlinico San Matteo, University of Pavia, Italy.

Abstract

Background. Chronic productive cough is a common clinical problem; often potential causes outside the lower respiratory tract are forgotten or ignored. The aim of this study was to make a precise etiopathogenetic diagnosis of chronic productive cough in young adults. Methods. In a clinical setting, 212 subjects (mean age 41±5 years) who had reported chronic productive cough in a previous postal survey of a young adult population underwent within two years clinical and functional investigations following a rational diagnostic approach. Two pulmonologists independently established the diagnosis using a clinically structured interview on nasal and respiratory symptoms, spirometry and other tests when appropriate (bronchodilator test or methacholine bronchial challenge, chest radiography); if rhino-sinusitis was suspected, subjects underwent an ENT examination with nasal endoscopy and/or sinus computed tomography. Results. At the end of the diagnostic procedure, 87 subjects (41%) no longer had chronic productive cough and had normal function. Fifty-eight subjects (27%) had chronic rhino-sinusitis; seventeen subjects (8%) had asthma, and of these fourteen also had chronic rhino-sinusitis; 50 subjects (24%) had COPD stage 0+, of these seven also had chronic rhino-sinusitis. Chronic rhino-sinusitis was more frequent in females than in males (p<0.05). Conclusions. Both in clinical practice and in epidemiological studies, it is important to consider that the origin of chronic productive cough could be frequently outside the lower respiratory tract; a consistent percentage of young adults with persistent productive cough has indeed chronic rhino-sinusitis.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Downloads

Published
2016-02-03
Info
Issue
Section
Original Articles
Keywords:
Smoking, rhino-sinusitis, chronic obstructive pulmonary disease, asthma
Statistics
  • Abstract views: 719

  • PDF: 447
How to Cite
Corsico, A.G., S. Villani, M.C. Zoia, R. Niniano, E. Ansaldo, G. Cervio, P.M. Quaresima, E. Gatto, E. Crippa, A. Marinoni, A. Foresi, E. Pozzi, and I. Cerveri. 2016. “Chronic Productive Cough in Young Adults Is Very Often Due to Chronic Rhino-Sinusitis”. Monaldi Archives for Chest Disease 67 (2). https://doi.org/10.4081/monaldi.2007.495.

Similar Articles

You may also start an advanced similarity search for this article.