Open AccessPARTICULARITIES IN THE CHILD CHRONIC RHINOSINUSITIS
Author(s) -
Alina Murgu,
Iași Pharmacy,
Evelina Moraru,
Daniela Rusu,
Elena Macsim,
Ileana Ioniuc,
Bogdan A. Stana,
Alice Azoicăi
Publication year - 2016
Publication title -
romanian journal of pediatrics
Language(s) - English
Resource type - Journals
eISSN - 2069-6175
pISSN - 1454-0398
DOI - 10.37897/rjp.2016.4.3
Subject(s) - medicine , cystic fibrosis , chronic rhinosinusitis , pathological , disease , sinusitis , mucociliary clearance , comorbidity , immunology , immune system , multidisciplinary team , allergy , pathology , pediatrics , dermatology , lung , nursing
Chronic rhinosinusitis is a rare pathology in pediatric pathology versus adult patients. Clinical manifestations are related, on the one hand, with the anatomical particularities and, on the other hand, with the immune response correlated with the age of the child. Allergy is the main cause in 50% of child rhinitis, 40% of them debuting early until the age of 6 years. The clinical expression of allergic rhinosinusitis in children can sometimes be accompanied by comorbidity manifestations or complications. Impaired mucociliary clearance can be induced by other rare pathological situations that produce mucus rheology modification, as in cystic fibrosis (CF). Through, the clinical heterogenicity of expression is in relation, on the one hand, with immunogenic response and anatomical particularities relative to age of the child, and secondly with the diversity of inducing factors (from very frequent like allergy to the least frequent, CF). It requires a correct diagnosis, early and appropriate treatment by a multidisciplinary team collaboration.