Basic clinical management of preschool wheeze.
Pediatr Allergy Immunol
; 34(7): e13988, 2023 07.
Article
in En
| MEDLINE
| ID: mdl-37492909
ABSTRACT
Preschool wheeze is very common and often difficult to treat. Most children do not require any investigations; only a detailed history and physical examination to ensure an alternative diagnosis is not being missed; and the differential diagnosis, and hence investigation protocols for the child in whom a major illness is suspected, shows geographical variation. The pattern of symptoms may be divided into episodic viral and multiple trigger to guide treatment, but the pattern of symptoms must be re-assessed regularly. However, symptom patterns are a poor guide to underlying pathology. Attention to the proper use of spacers, and adverse environmental exposures such as tobacco smoke exposure, is essential. There are no disease-modifying therapies, so therapy is symptomatic. This paper reviews recent advances in treatment, including new data on the place of leukotriene receptor antagonists, prednisolone for acute attacks of wheeze, and antibiotics, based on new attempts to understand the underlying pathology in a way that is clinically practical.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prednisolone
/
Leukotriene Antagonists
Type of study:
Diagnostic_studies
/
Guideline
Limits:
Child
/
Child, preschool
/
Humans
Language:
En
Journal:
Pediatr Allergy Immunol
Journal subject:
ALERGIA E IMUNOLOGIA
/
PEDIATRIA
Year:
2023
Document type:
Article
Affiliation country: