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COVID-era children report fewer wheezing episodes, less asthma therapy
COVID-era children report fewer wheezing episodes, less asthma therapy

July 12th 2024

Data from an Italy cohort show wheezing episodes decreased by more than 40% among children born during the COVID-19 lockdown period versus a pre-pandemic cohort.

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Weekly review: A dermatology case, puzzler, and more

July 8th 2024

Children with Medicaid and persistent asthma face large specialty care disparity | Image Credit: © Aliaksandr Marko - © Aliaksandr Marko - stock.adobe.com.
Children with Medicaid and persistent asthma face large specialty care disparity

June 20th 2024

Image Credit: © Artur - © Artur - stock.adobe.com.
Weekly review: ADHD treatment FDA approval, peanut consumption and adolescent tolerance, and more

June 3rd 2024

Associations between childhood asthma and dietary intake, minerals, vitamins, antioxidants | Image Credit: © Анна Ковальчук - © Анна Ковальчук - stock.adobe.com.
Associations between childhood asthma and dietary intake, minerals, vitamins, antioxidants

May 30th 2024

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Wheeze in Preschool Children:

April 1st 2007

Severe disability and even death can result from the inappropriate diagnosis and treatment of a young child's wheezing, which is heterogeneous in its origins and expression. Consequently, a differential diagnosis is necessary to determine the cause and to develop an effective management strategy. Viral-induced wheeze, especially from respiratory syncytial virus (RSV), manifests as a bronchiolitis. Recent reports show that the cysteinyl leukotrienes are an important mediator of the airway effects of RSV infection and that leukotriene receptor antagonists reduce postrespiratory syncytial virus lung symptoms. Exercise-induced bronchoconstriction manifests as wheezing and can be treated or pretreated short-term with inhaled bronchodilators or cromolyn: long-term therapy includes inhaled corticosteroids and leukotriene receptor antagonists. Allergic rhinitis-associated wheeze may be the result of acute exposure to an allergen or simply from nasal dysfunction. Control of allergic rhinitis with intranasal steroids, antihistamines, or leukotriene receptor antagonists could relieve the wheezing. Asthma-associated wheeze requires long-term use of 1 or more daily controller medications. The primary goal is to navigate the child safely through the first episode of wheezing, consider the causes of the wheeze, and then evaluate the need for further therapy. All apparent causes of wheeze should be treated with the idea that if the apparent cause turns out not to be the actual cause, treatment can be safely discontinued.

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