What do we mean by childhood asthma?
Manuel Praena Crespoa
aPeditra. Grupo de Vías Respiratorias de la AEPap. CS La Candelaria. Sevilla. España.
Reference of this article: Praena Crespo M. What do we mean by childhood asthma? Rev Pediatr Aten Primaria. 2005;7 Supl 2:S13-27.
Published in Internet: 30-06-2005
The term asthma includes a set of processes of different nature and prognosis that
have in common an aerial flow obstruction and similar clinical manifestations. The child
under 6 years of age presents the biggest problem by the lack of diagnostic tools on lung
function. Throughout the article we approach the different concepts and definitions that
make possible the diagnosis and management of asthma. The longitudinal population-based
studies followed many years have made possible the recognition of different phenotypes
of asthma and have provided tools for their valuation, which allows to inform the family
on the nature of the symptoms of the child and to emit a judgment about prognosis
and to orient a treatment doing more rational the therapeutics. The asthma phenotype
which has a prognosis of greater severity and persistence of symptoms is associated with
atopia and is tributary of antiinflammatory treatment. In any young child besides diagnosing
asthma it is necessary to value the phenotype to which it belongs, and to adapt the treatment
avoiding over treatment in cases that do not respond or to leave without treatment
other children who need it.
Keywords● Asthma ● Asthma fenotypes ● Childhood ● Longitudinal estudies