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Arch Pediatr Adolesc Med. 2006;160:54-55.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Coughing Paroxysms Associated With Subconjunctival Hemorrhage and Dellen

Subconjunctival hemorrhages are among the most frequent diagnoses in ophthalmology and commonly occur following trauma.¹ Simultaneous periorbital and subconjunctival hemorrhages are reported in a few diseases, including coagulopathic states, thrombocytopenia, trauma (occult or known), metastatic neuroblastoma, rhabdomyosarcoma, and leukemia.² Our patient had no history of trauma, coagulopathy, or blood dyscrasias. His only medical condition was mild persistent asthma, which was controlled with inhaled corticosteroid (400 µg/d). The coughing paroxysms suggested the cause of the subconjunctival hemorrhages and eyelid ecchymosis. Causes of coughing paroxysms are listed in Table 1.³

Table appears in full text version. Table 1. Differential Diagnosis of Persistent Cough

Although our patient had received all 4 scheduled pertussis vaccinations (diphtheria-pertussis-tetanus) and taken erythromycin for 1 week, we thought pertussis was the probable cause of the coughing paroxysms. The nasopharyngeal culture was negative for Bordetella pertussis; however, previously immunized patients are known to have a lower rate of positive cultures when infected. Patients . . . [Full Text of this Article]

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Arch Pediatr Adolesc Med. 2006;160(1):53.
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