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Sweat test in asthmatic children; a single center study
Bahram Mirsaeid Ghazi1, Roya Khalesi, Mohsen Naseri
1Department of Pediatrics, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. bahrami_ch@yahoo.com
A positive sweat test, indicating Cystic Fibrosis (CF), was found in 26% of asthmatic children. This suggests screening asthmatic children with specific symptoms for CF is crucial.
Area of Science:
- Pediatrics
- Pulmonology
- Genetics
Background:
- Asthma and Cystic Fibrosis (CF) share overlapping clinical manifestations.
- The diagnostic utility of sweat testing in asthmatic children requires further investigation.
Purpose of the Study:
- To determine the frequency of positive sweat tests in pediatric asthma patients.
- To identify clinical indicators associated with a positive sweat test in this cohort.
Main Methods:
- A cross-sectional study involving 135 asthmatic children at Bahrami Children Hospital, Tehran.
- All participants underwent sweat testing.
- Data collection included clinical signs, symptoms, and asthma duration.
Main Results:
- A positive sweat test was observed in 26% (35/135) of asthmatic children.
- Positive sweat tests correlated significantly with recurrent respiratory infections, chronic diarrhea, and failure to thrive.
- Children with positive tests had a longer mean asthma duration (49.3 months) compared to those with negative tests (18.1 months).
Conclusions:
- The sweat test is a valuable screening tool for Cystic Fibrosis in asthmatic children presenting with specific symptoms.
- Consider sweat testing for asthmatic children with recurrent respiratory infections, chronic diarrhea, failure to thrive, and prolonged asthma duration.
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