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An Approach to Preschool Wheezing: To Label As Asthma?

An Approach to Preschool Wheezing: To Label As Asthma? REVIEWS An Approach to Preschool Wheezing: To Label As Asthma? Hugo P. Van Bever, MD, PhD, Eugene Han, MD, Lynette Shek, MD, Seo Yi Chng, MD, and Daniel Goh, MD in some studies, eosinophils in others and no evidence of Abstract: Asthma is considered a chronic disease, but not all either in the rest. preschool wheezing is asthma since most will eventually grow out of The symptoms and signs of asthma in young children their symptoms. Although still a matter of debate, preschool wheez- are commonly mimicked by a range of recurrent lower airway ing can be classified in 2 major groups: virus-induced wheezing and infections, such as bronchitis, bronchiolitis, and pneumonia. multitrigger wheezing, having a different prognosis and a different Thus, given the multifactorial nature of all wheezing disor- treatment approach. Virus-induced wheezing is the most common ders it is highly likely that a large number of clinical pheno- phenotype of preschool wheezing and is usually associated with a types exist, and that those phenotypes described in the liter- good prognosis. Treatment should be conservative, but if preventive ature are mainly the extremes of a broad spectrum of treatment is required, leukotriene-receptor antagonists might be the preschool wheezing http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Allergy Organization Journal Wolters Kluwer Health

An Approach to Preschool Wheezing: To Label As Asthma?

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References (96)

ISSN
1939-4551
DOI
10.1097/WOX.0b013e3181fc7fa1
pmid
23282943
Publisher site
See Article on Publisher Site

Abstract

REVIEWS An Approach to Preschool Wheezing: To Label As Asthma? Hugo P. Van Bever, MD, PhD, Eugene Han, MD, Lynette Shek, MD, Seo Yi Chng, MD, and Daniel Goh, MD in some studies, eosinophils in others and no evidence of Abstract: Asthma is considered a chronic disease, but not all either in the rest. preschool wheezing is asthma since most will eventually grow out of The symptoms and signs of asthma in young children their symptoms. Although still a matter of debate, preschool wheez- are commonly mimicked by a range of recurrent lower airway ing can be classified in 2 major groups: virus-induced wheezing and infections, such as bronchitis, bronchiolitis, and pneumonia. multitrigger wheezing, having a different prognosis and a different Thus, given the multifactorial nature of all wheezing disor- treatment approach. Virus-induced wheezing is the most common ders it is highly likely that a large number of clinical pheno- phenotype of preschool wheezing and is usually associated with a types exist, and that those phenotypes described in the liter- good prognosis. Treatment should be conservative, but if preventive ature are mainly the extremes of a broad spectrum of treatment is required, leukotriene-receptor antagonists might be the preschool wheezing

Journal

World Allergy Organization Journal – Wolters Kluwer Health

Published: Nov 1, 2010

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