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Classically recognizable cough sounds in children

Classically recognizable cough sounds in children
Cough characteristic Suggested underlying pathology[1,2]
Barking or brassy cough Tracheomalacia, tic cough/somatic cough disorder*, croup (if acute)
Honking or "goose-like" cough Tracheomalacia, tic cough/somatic cough disorder*
Paroxysmal cough (with or without inspiratory whoop) Pertussis and parapertussis
Staccato cough Chlamydia in infants
Cough productive of casts Plastic bronchitis and conditions associated with mucus plugs such as ABPA
Chronic wet or productive cough only in the mornings Suppurative lung diseases (eg, bronchiectasis, cystic fibrosis)
Wet or productive cough Presence of endobronchial secretions

ABPA: allergic bronchopulmonary aspergillosis.

* Tic cough is sometimes termed "habit cough." Somatic cough disorder was previously known as "psychogenic cough." Although these types of cough have distinct definitions, they cannot always be distinguished clinically and the initial approach to management is similar, unless clear markers of somatic cough disorder are present[3].
Adapted from:
  1. Chang AB, Glomb WB. Guidelines for evaluating chronic cough in pediatrics: ACCP evidence-based clinical practice guidelines. Chest 2006; 129:260S.
  2. Chang AB, Landau LI, Van Asperen PP, et al. Cough in children: Definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand. Med J Australia 2006; 184:398.
  3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association, Arlington 2013.
Graphic 113265 Version 6.0

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