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Related Experiment Videos

Bronchial responsiveness and lung function in recurrently wheezy infants.

S M Stick1, J Arnott, D J Turner

  • 1Department of Respiratory Medicine, University of Western Australia, Perth.

The American Review of Respiratory Disease
|November 1, 1991
PubMed
Summary

Wheezy infants show lower baseline airflow but do not exhibit increased bronchial responsiveness (BR) to histamine compared to healthy infants. This suggests different underlying mechanisms for infant wheezing versus childhood asthma.

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Allergy and Immunology

Background:

  • Infant wheezing is common but often unresponsive to asthma treatments.
  • Pathologic mechanisms causing wheezing in infants remain poorly understood.
  • The link between wheezing and bronchial responsiveness (BR) in older individuals is well-established.

Purpose of the Study:

  • To investigate if the association between wheezing and BR observed in older subjects is also present in infants.
  • To compare bronchial responsiveness to inhaled histamine in wheezy infants versus healthy controls.

Main Methods:

  • Study included 19 recurrently wheezy infants and age-, height-, weight-, and sex-matched controls.
  • Bronchial responsiveness (BR) assessed using inhaled histamine challenge.

Related Experiment Videos

  • Maximal flow at functional residual capacity (VmaxFRC) measured via partial expiratory flow-volume curves; PC40 (provocative concentration causing 40% fall in VmaxFRC) determined.
  • Main Results:

    • Wheezy infants had significantly lower median baseline VmaxFRC (100.0 ml/s) compared to controls (182.0 ml/s, p < 0.01).
    • No significant difference in PC40 was found between wheezy infants (2.1 g/L) and control infants (2.3 g/L).
    • This indicates similar bronchial responsiveness despite differing baseline airflow.

    Conclusions:

    • Recurrent wheezing in infants is associated with reduced baseline airflow but not increased bronchial responsiveness to histamine.
    • The findings suggest that wheezing in infancy may stem from different pathophysiological mechanisms than those in older asthmatic individuals.
    • Further research is needed to elucidate the specific mechanisms driving wheezing in this age group.