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[Exercise-induced bronchospasm. Diagnosis and management]
A Rosas Miguel1, Jaime Pérez, Virginia Blandón
1Departamento de alergia e inmunologia, Hospital Infantil de México Federico Gómez, México, DF.
Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)
|July 9, 2004
Summary
Exercise-induced bronchospasm in asthmatic children is triggered by airway cooling and dehydration. Diagnosis involves clinical history and bronchodilator response, with warm-ups and beta-agonists as preventative treatments.
Area of Science:
- Pediatric Pulmonology
- Exercise Physiology
Context:
- Exercise-induced bronchospasm (EIB) is prevalent in children with asthma.
- Physiopathology includes airway cooling, dehydration, and inflammatory cell infiltration (histamine, eicosanoids).
Purpose:
- To outline the pathophysiology, diagnosis, and management of exercise-induced bronchospasm in pediatric asthma.
Summary:
- Diagnosis relies on suggestive clinical history and a 15% increase in Forced Expiratory Volume in 1 second (FEV1) post-beta-agonist administration.
- Differential diagnosis is crucial for accurate identification.
- Management strategies include pre-exercise warm-up routines and regular use of beta-agonists.
Impact:
- Improved understanding of EIB pathophysiology in pediatric asthma.
- Guidance on diagnostic criteria and differential diagnosis.
- Recommendations for effective preventative management strategies.