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Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2011, Number 3

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Alerg Asma Inmunol Pediatr 2011; 20 (3)

Chest X-ray and high resolution computed tomography utility in pediatric asthma

Ortega M, Huerta LJG

Language: Spanish
References: 76
Page: 93-106
PDF size: 371.52 Kb.


ABSTRACT

Asthma is a worldwide public health care problem. In Mexico, the prevalence is between 5 and 8% of the population and is the first cause of death in preschool children. The acute asthma in children control and assessment is carried out with invasive typical methods, which in the long term are insufficient. Nowadays, there are noninvasive clinical diagnosis methods which contribute to the pediatric asthma assessment and monitoring, mainly the chest X-ray and the high resolution computed tomography. The chest X-ray is useful in identifiying or ruling out etiologies and complications that are involved in asthma such as: cardiogenic pulmonary edema, tumors, atelectasis, pneumonia, obstructive emphysema and airflous obstruction (pneumomediastinum, pneumothorax, and subcutaneous emphysema). The high resolution computed tomography (HRCT) has improved the diagnosis performance since it allows to determine and quantify, with a better resolution, sensitivity and specificity, the remodeling stage, as well as the bronchial wall thickening, the small airway assessment and bronchiectasis. For this the method contributes more than the X-ray and the conventional computed tomography. Nonetheless, it is difficult applied regularly in children due to the cost and radiation, so further studies are necessary to validate the previous results and justify the use of alternative techniques.


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