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ISSN 1405-1699 (Print)
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2016, Number 1

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Alerg Asma Inmunol Pediatr 2016; 25 (1)

Recurrent early wheezing and risk factors for the development of asthma

Aguilera ZF, Huerta LJG

Language: Spanish
References: 12
Page: 12-23
PDF size: 248.29 Kb.


ABSTRACT

The following review article intends to guide the pediatrician in the appropriate management of children that presents with recurrent early wheezing. Recurrent early wheeze is defined as ≥ 3 reports of wheezing in the first 3 years of life. These patients have been classified in different groups or phenotypes according with their respective etiology, risk factors, prognosis, and treatment. These groups or phenotypes are the following: patients with recurrent transient wheezing, patients with recurrent permanent atopic wheezing, and patients with recurrent permanent non-atopic wheezing. The approach and management of the patients with recurrent early wheezing should have a special consideration in the clinical history and physical findings. The physician should try to classify the patients into the three previously described groups according to the information obtained from the history and physical findings. An adequate orientation and treatment of the patients should be oriented based on the specific group and the score obtained from the Asthma Predictive Index. It is worthwhile mentioning that the infants and toddlers classified into the group of recurrent permanent atopic wheezing are treated according to the asthma management guidelines although there are no studies for patients of this lifespan.


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