Diagnosis of Allergy and Asthma in Childhood

被引:21
作者
Baena-Cagnani, Carlos E. [1 ]
Badellino, Hector A. [1 ]
机构
[1] Catholic Univ Cordoba, CIMER Ctr Invest Med Resp, Cordoba, Argentina
关键词
Childhood asthma; Preschool wheezing; Diagnosis; Atopy; Inflammation; Lung function; Phenotypes; Tobacco exposure; 1ST; 6; YEARS; AIRWAY RESPONSIVENESS; PRESCHOOL-CHILDREN; LIFE; WHEEZE; RISK; EPIDEMIOLOGY; MANAGEMENT; SMOKING; PREDICT;
D O I
10.1007/s11882-010-0156-5
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Childhood asthma is a widespread health problem because of its epidemic prevalence, as asthma affects more than 300 million people worldwide. Results from cross-sectional and cohort studies show that asthma starts in childhood in a large proportion of cases. A proper diagnosis is easier to make in adults and school-age children, as permanent changes in lung development, the strong impact of environmental factors on the airways, the immunologic maturity process, and the use of some diagnostic tools make asthma more difficult to diagnose in preschool children. This period of a child's life is an interesting challenge for pediatricians and specialists. The aim of the present review is to analyze the current knowledge regarding making an early and accurate asthma diagnosis and therefore deciding on the correct treatment to gain control over asthma symptoms and minimize health risks.
引用
收藏
页码:71 / 77
页数:7
相关论文
共 47 条
[1]  
Asher MI, 1998, EUR RESPIR J, V12, P315
[2]   Diagnosis and treatment of asthma in childhood: a PRACTALL consensus report [J].
Bacharier, L. B. ;
Boner, A. ;
Carlsen, K. -H. ;
Eigenmann, P. A. ;
Frischer, T. ;
Goetz, M. ;
Helms, P. J. ;
Hunt, J. ;
Liu, A. ;
Papadopoulos, N. ;
Platts-Mills, T. ;
Pohunek, P. ;
Simons, F. E. R. ;
Valovirta, E. ;
Wahn, U. ;
Wildhaber, J. .
ALLERGY, 2008, 63 (01) :5-34
[3]   Airway remodelling in children: when does it start? [J].
Baena-Cagnani, Carlos ;
Rossi, Giovanni A. ;
Canonica, Giorgio Walter .
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY, 2007, 7 (02) :196-200
[4]   Impact of environmental tobacco smoke and active tobacco smoking on the development and outcomes of asthma and rhinitis [J].
Baena-Cagnani, Carlos E. ;
Maximiliano Gomez, R. ;
Baena-Cagnani, Rodrigo ;
Canonica, G. Walter .
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY, 2009, 9 (02) :136-140
[5]   Effect of 17q21 Variants and Smoking Exposure in Early-Onset Asthma [J].
Bouzigon, Emmanuelle ;
Corda, Eve ;
Aschard, Hugues ;
Dizier, Marie-Helene ;
Boland, Anne ;
Bousquet, Jean ;
Chateigner, Nicolas ;
Gormand, Frederic ;
Just, Jocelyne ;
Le Moual, Nicole ;
Scheinmann, Pierre ;
Siroux, Valerie ;
Vervloet, Daniel ;
Zelenika, Diana ;
Pin, Isabelle ;
Kauffmann, Francine ;
Lathrop, Mark ;
Demenais, Florence .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 359 (19) :1985-1994
[6]   Definition, assessment and treatment of wheezing disorders in preschool children:: an evidence-based approach [J].
Brand, P. L. P. ;
Baraldi, E. ;
Bisgaard, H. ;
Boner, A. L. ;
Castro-Rodriguez, J. A. ;
Custovic, A. ;
de Blic, J. ;
de Jongste, J. C. ;
Eber, E. ;
Everard, M. L. ;
Frey, U. ;
Gappa, M. ;
Garcia-Marcos, L. ;
Grigg, J. ;
Lenney, W. ;
Le Souef, P. ;
McKenzie, S. ;
Merkus, P. J. F. M. ;
Midulla, F. ;
Paton, J. Y. ;
Piacentini, G. ;
Pohunek, P. ;
Rossi, G. A. ;
Seddon, P. ;
Silverman, M. ;
Sly, P. D. ;
Stick, S. ;
Valiulis, A. ;
van Aalderen, W. M. C. ;
Wildhaber, J. H. ;
Wennergren, G. ;
Wilson, N. ;
Zivkovic, Z. ;
Bush, A. .
EUROPEAN RESPIRATORY JOURNAL, 2008, 32 (04) :1096-1110
[7]   Wheezing and Asthma in childhood: an epidemiology approach [J].
Castro-Rodriguez, J. A. ;
Garcia-Marcos, L. .
ALLERGOLOGIA ET IMMUNOPATHOLOGIA, 2008, 36 (05) :280-290
[8]   A clinical index to define risk of asthma in young children with recurrent wheezing [J].
Castro-Rodríguez, JA ;
Holberg, CJ ;
Wright, AL ;
Martinez, FD .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 162 (04) :1403-1406
[9]   Predicting the long-term prognosis of children with symptoms suggestive of asthma at preschool age [J].
Caudri, Daan ;
Wijga, Alet ;
Schipper, C. Maarten A. ;
Hoekstra, Maarten ;
Postma, Dirkje S. ;
Koppelman, Gerard H. ;
Brunekreef, Bert ;
Smit, Henriette A. ;
de Jongste, Johan C. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2009, 124 (05) :903-910
[10]   When asthma diagnosis becomes a challenge [J].
Contoli, M. ;
Papi, A. .
EUROPEAN RESPIRATORY JOURNAL, 2010, 36 (02) :231-233