Dry night cough as a marker of allergy in preschool children: the PARIS birth cohort

作者：Ranciere Fanny; Nikasinovic Lydia; Momas Isabelle^*

来源：Pediatric Allergy and Immunology, 2013, 24(2): 131-137.

DOI：10.1111/pai.12045

• allergy
• cluster analysis
• cohort study
• cough
• preschool children
• symptom trajectory

Background Early detection of children at risk for developing allergy is an important challenge. Our first analyses in infants from the Pollution and Asthma Risk: an Infant Study (PARIS) birth cohort suggested that dry night cough was associated with parental-reported allergic disorders. The aim of the present study was to refine this finding by investigating the time course of dry night cough from birth to age 4yr in relation to blood markers of atopy and allergic morbidity. Methods Health outcomes were regularly assessed by parental self-administered questionnaires. Blood markers of atopy were measured at age 18months. Children with similar patterns of dry night cough over the first 4yr of life were grouped together using k-means clustering. Associations with atopy/allergy were studied using multinomial logistic regression. Results Three trajectories of dry night cough were identified in 1869 children. Besides the never/infrequent pattern (72.4%), the transient pattern (8.8%) was composed of children who coughed in the first year and recovered by age 4yr, while the rising pattern (18.8%) included all symptomatic children at age 4yr, whether they were persistent or late coughers. Compared with the never/infrequent pattern, the rising pattern was significantly associated with elevated total immunoglobulin E (IgE) level (odds ratio [OR]=1.70, 95% confidence interval [CI]=1.212.39) and inhalant allergens sensitization (OR=2.66, 95% CI=1.265.61) at age 18months, and with doctor-diagnosed allergic diseases over the first 4yr such as hay fever (OR=2.52, 95% CI=1.494.26) and eczema (OR=1.29, 95% CI=1.001.66). Conclusions This study provides evidence that persistent/late dry night cough may indicate allergy in preschool children.

• 出版日期2013-3