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Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
Published on: May 10, 2024
Outcome of wheezing in early childhood
1Department of Pediatrics, Göteborg University, Queen Silvia Children's Hospital, Göteborg, Sweden. goran.wennergren@pediat.gu.se
Insights
Children hospitalized for early childhood wheezing face a higher risk of developing asthma. Studies confirm Boesen's findings on eosinophilia and age at admission predicting future asthma development.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Boesen's 50-year-old study on "asthmatic bronchitis" in children provides a historical baseline.
- Recent investigations into early childhood wheezing hospitalizations align with Boesen's original observations.
Discussion:
- Young children hospitalized for wheezing exhibit a significantly elevated risk for developing subsequent asthma.
- Eosinophilia and younger age at initial wheezing hospitalization are confirmed prognostic indicators for later asthma development.
Key Insights:
- Early childhood wheezing hospitalization is a strong predictor of adult asthma.
- Allergy or atopic dermatitis in early childhood predicts subsequent asthma development.
- Family history of allergy has limited predictive value for asthma in infants.
Outlook:
- Further research can refine risk stratification for pediatric asthma.
- Understanding early life wheezing phenotypes is crucial for targeted interventions.
- Longitudinal studies can further elucidate the trajectory from early wheezing to established asthma.
Unlabelled:
In Acta Paediatrica 50 y ago, Boesen published a follow-up of children with "asthmatic bronchitis". Recent reinvestigations of children hospitalized because of wheezing in early childhood are remarkably consistent with Boesen's observations.
Conclusion:
Young children admitted to hospital because of wheezing have a clearly increased risk of subsequent asthma. Recent studies confirm Boesen's observations of the prognostic importance of eosinophilia and an inverse relation between age at admission with wheezing and risk of subsequent asthma. Allergy or atopic dermatitis is predictive of subsequent asthma, whereas family history of allergy has low predictive value in infants.
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