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Arch Dis Child 1997;77:331-334 ( October )

Cough sensitivity in children with asthma, recurrent cough, and cystic fibrosis

Anne B Chang,a Peter D Phelan,a b Susan M Sawyer,a b Susanna Del Brocco,a Colin F Robertsona

a Department of Thoracic Medicine, Royal Children's Hospital, Melbourne, b Department of Paediatrics, University of Melbourne

Correspondence to: Dr Anne Chang, Department of Thoracic Medicine, Royal Children's Hospital, Parkville, Melbourne, Victoria 3052, Australia.


Accepted 12 June 1997

In adults, cough sensitivity is influenced by gender and is heightened in those with non-productive cough. This study examined if cough sensitivity is (i) altered in children with asthma, recurrent cough, and cystic fibrosis and (ii) influenced by age, gender, or forced expiratory volume in one second (FEV1).
  Cough sensitivity to capsaicin and spirometry were performed on 209 children grouped by the diagnosis of asthma, recurrent dry cough, cystic fibrosis, and controls.
Cough sensitivity was increased in children with recurrent cough, and lower in children with cystic fibrosis when compared with children with asthma and controls. Age influenced cough sensitivity in the controls. In the asthmatics, FEV1 (% predicted) correlated to cough sensitivity measures. There was no gender difference in cough sensitivity.
It is concluded that cough sensitivity is different among children with recurrent dry cough, asthma, and cystic fibrosis. In children, age, but not gender, influences cough sensitivity measures and when cough sensitivity is used in comparative studies, children should be matched for age and FEV1.

Keywords: capsaicin; cough; cystic fibrosis; asthma

© 1997 by Archives of Disease in Childhood


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