Basic diagnostic evaluation in the asthmatic child and adolescent in Primary Care
Reference of this article: Castillo Laita JA, Pardos Martínez C, Callén Blecua MT, Carvajal Urueña I. Basic diagnostic evaluation in the asthmatic child and adolescent in Primary Care. Rev Pediatr Aten Primaria. 2005;7 Supl 2:S29-47.
Published in Internet: 30-06-2005
To establish the diagnosis of asthma, the clinician must determine that episodic
symptoms of airflow obstruction are present, airflow obstruction is at least partially reversible
and alternative diagnoses are excluded. Recommended mechanisms to establish the
diagnosis are detailed medical history, physical exam focusing on the upper respiratory
tract, chest and skin, and spirometry to demonstrate reversibility. Additional studies may be
considered to evaluate alternative diagnoses, identify precipitating factors and assess the
severity of asthma.
Asthma often begins in childhood, and when it does, it is frequently found in association
with atopy. A family history of atopy is the most important clearly defined risk factor
for atopy in children. A maternal history of asthma and/or rhinitis is a significant risk factor for late childhood onset asthma. Markers of allergic disease at presentation (skin prick
tests and peripheral blood markers) are related to severity of current asthma and persistence
Keywords● Asthma ● Diagnosis