Happy wheezers, happy parents, and happy doctors?

Benedictis, Fernando Maria de; Bush, Andrew

doi:10.1016/s2213-2600(14)70121-3

Cited by 2 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Asthma is a common disease in childhood and this is obviously recalled to mind when the physicians face with a wheezy child . There are several reports on children with airway obstruction due to different causes that were misdiagnosed as asthma, mainly because symptoms and occasionally triggering factors such as exercise overlap those of asthma .…”

Section: Discussionmentioning

confidence: 99%

Ground zero: not asthma at all

Benedictis

Mirabile

et al. 2015

Pediatric Allergy Immunology

Self Cite

View full text Add to dashboard Cite

Upper airway obstruction is commonly misdiagnosed as asthma. We report on four children with recurrent respiratory symptoms who had been erroneously diagnosed as having asthma and who received anti-asthma medication for several years. The evaluation of spirometry tracing was neglected in all cases. Subglottic stenosis, tracheomalacia secondary to tracheo-esophageal fistula, double aortic arch, and vocal cord dysfunction were suspected by direct inspection of the flow-volume curves and eventually diagnosed. The value of clinical history and careful evaluation of spirometry tracing in children with persistent respiratory symptoms is critically discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

Ground zero: not asthma at all

Benedictis

Mirabile

et al. 2015

Pediatric Allergy Immunology

Self Cite

View full text Add to dashboard Cite

show abstract

Infantile wheeze: rethinking dogma

Benedictis

Bush

2016

Arch Dis Child

Self Cite

View full text Add to dashboard Cite

Wheeze is a common symptom in young children and is usually associated with viral illnesses. It is a major source of morbidity and is responsible for a high consumption of healthcare and economic resources worldwide. A few children have a condition resembling classical asthma. Rarer specific conditions may have a wheezy component and should be considered in the differential diagnosis. Over the last half century, there have been many circular discussions about the best way of managing preschool wheeze. In general, intermittent wheezing should be treated with intermittent bronchodilator therapy, and a controller therapy should be prescribed for a young child with recurrent wheezing only if positively indicated, and only then if carefully monitored for efficacy. Good multidisciplinary support, attention to environmental exposition and education are essential in managing this common condition. This article analyses the pathophysiological basis of wheezing in infancy and critically discusses the evolution of the scientific progress over time in this unique field of respiratory medicine.

show abstract

Happy wheezers, happy parents, and happy doctors?

Cited by 2 publications

References 15 publications

Ground zero: not asthma at all

Ground zero: not asthma at all

Infantile wheeze: rethinking dogma

Contact Info

Product

Resources

About