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Chronic obstructive pulmonary diseases in children.

Jose Dirceu Ribeiro1, Gilberto Bueno Fischer2

  • 1Department of Pediatrics, Faculdade de Ciências Médicas (FCM), Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.

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Summary

Chronic obstructive pulmonary diseases in children and adolescents (COPDC) can be managed effectively with guideline-based treatments and patient adherence. Early diagnosis and individualized care are key to controlling symptoms and improving quality of life.

Keywords:
ChildChronic coughChronic obstructive pulmonary diseaseCriançaDoença pulmonar obstrutiva crônicaTosse crônica

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Genetics and Environmental Health

Background:

  • Chronic obstructive pulmonary diseases in children and adolescents (COPDC) present with diverse genetic and environmental origins.
  • Manifestations include varied genotypes, phenotypes, and endotypes, with chronic cough as a primary symptom and potential bronchiectasis.

Purpose of the Study:

  • To review and describe the key aspects of diagnosing and managing COPDC in pediatric and adolescent populations.
  • To consider the interplay of physiopathology, genetics, and environmental factors in COPDC.

Main Methods:

  • A comprehensive literature review of relevant studies was conducted using the PubMed database.

Main Results:

  • COPDC, while incurable, is manageable through individualized treatment plans.
  • Effective management relies on adherence to guidelines and treatment regimens, including corticosteroids, bronchodilators, and inhaled antibiotics.
  • Pulmonary exacerbations (PE) are a critical factor in management and outcome assessment.

Conclusions:

  • Accurate diagnosis, understanding risk factors, and managing comorbidities are crucial for effective COPDC management.
  • Treatment strategies must be guideline-based and individualized, with patient adherence being paramount.
  • Long-term outcomes are improved through interdisciplinary team monitoring in specialized centers, focusing on reduced PEs, enhanced quality of life, and preserved lung function.