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[Allergic bronchial asthma and allergic rhinitis: clinical aspects and therapy]
Insights
Childhood asthma and allergic rhinitis are common. Allergy is a key trigger for asthma in children, while allergic rhinitis impacts quality of life. Effective treatments involve medication and allergen avoidance for both conditions.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
Context:
- Bronchial asthma and allergic rhinitis are prevalent chronic childhood diseases.
- Allergies significantly contribute to asthma triggers in preschool and school-aged children.
- Recurrent coughs can be misdiagnosed, masking underlying asthma.
Purpose:
- To discuss the clinical presentation, diagnosis, and current treatment strategies for allergic asthma in children.
- To review the management of allergic rhinitis and its impact on children's well-being.
- To highlight the importance of accurate diagnosis and targeted therapy for pediatric respiratory allergies.
Summary:
- Allergic asthma management includes inhaled medications for acute attacks and prophylaxis for perennial cases.
- Allergic rhinitis, though less severe than asthma, affects children's quality of life.
- Therapies for both conditions involve allergen avoidance and pharmacological interventions like corticosteroids and antihistamines.
Impact:
- Improved understanding of pediatric allergic respiratory diseases.
- Guidance on effective diagnostic and therapeutic approaches for clinicians.
- Potential for enhanced quality of life for children suffering from asthma and allergic rhinitis.
Abstract:
Bronchial asthma and allergic rhinitis are the most common chronic diseases in childhood. On the bases of bronchial hyperreactivity many factors can trigger asthma. In children at preschool and school age allergy plays the most important role. The typical asthmatic attack is rarely missed, but frequently recurrent, irritant coughs at night or after physical exercise are misinterpreted. In the present article clinical picture, diagnosis and today's treatment of allergic asthma are discussed. The most important therapy consists of inhalation with efficacious drugs at the time of an acute attack and is continued as a prophylaxis in cases of perennial asthma. Allergic rhinitis does fortunately not take the threatening course of asthma, but its symptoms can reduce the well-being and the quality of life of a child. The diagnosis of allergic rhinitis is easy and rarely missed. The current therapy - like asthma-therapy - consists of avoidance of any known provoking factors in addition to topical application of drugs interacting with mast-cells and corticosteroids and to oral non-sedative histamines.