2018, Number 2
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Alerg Asma Inmunol Pediatr 2018; 27 (2)
Role of viral infections in the development and exacerbation of asthma in children
Aguilar PA, Huerta LJG
Language: Spanish
References: 64
Page: 49-59
PDF size: 202.93 Kb.
ABSTRACT
Viral infections are closely related to wheezing diseases in children of all ages. Respiratory syncytial virus (RSV) is the main causative agent of bronchiolitis and has been considered as the virus that causes more wheezing in infants. Rhinoviruses (RV) and coronaviruses, in contrast, are well-known causes of tract infections. Upper respiratory in all ages. Severe respiratory disease induced by any of these viruses is associated with the subsequent development of asthma, and the risk is greater for young children who have wheezing with rhinovirus infections. If respiratory diseases really cause asthma is the subject of intense debate. Wheezing diseases induced by respiratory syncytial virus during childhood influence respiratory health for years. There is definitive evidence that bronchiolitis induced by respiratory syncytial virus can damage the respiratory tract and promote airway obstruction and recurrent wheezing. Rhinovirus (RD) probably causes less structural damage and, nonetheless, is a significant contributor to sibilant diseases in young children and in the context of asthma. For these viruses, the interactions between viral virulence factors, personal risk factors (genetics) and environmental exposures (respiratory tract microbiome) promote respiratory diseases and promote more severe wheezing and the risk of asthma progression. In addition, allergy and asthma are the main risk factors for the most frequent and serious diseases related to rhinovirus, treatments that inhibit inflammation have efficacy for wheezing induced by rhinovirus, while the anti-RSV mAb palivizumab decreases the risk of severe disease induced by RSV and subsequent recurrent wheezing. Developing a greater understanding of the personal and environmental factors that promote more serious viral diseases could lead to new strategies for the prevention of sibilant viral diseases and perhaps reduce the subsequent risk of asthma.
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