Related Experiment Video
Updated: Mar 29, 2026

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Mannitol bronchial challenge test in asthmatic children.
M Miraglia Del Giudice1, C Capristo1, F Decimo1
1Department of Women, Child and General and Special Surgery, Second University of Naples, Italy.
The mannitol bronchial challenge test is a promising tool for diagnosing asthma in children. This test effectively assesses bronchial hyperreactivity, aiding in early diagnosis and management of childhood asthma.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Diagnostic Immunology
Background:
- Bronchial asthma is a chronic respiratory condition marked by reversible airway obstruction and hyperresponsiveness.
- Assessing bronchial hyperreactivity is crucial for diagnosing asthma, especially in pediatric populations.
- Traditional diagnostic methods can be invasive or difficult to standardize in children.
Purpose of the Study:
- To evaluate the clinical significance and utility of the mannitol bronchial challenge test in diagnosing asthma in children.
- To assess the effectiveness of this indirect bronchial provocation test in pediatric asthma assessment.
Main Methods:
- The study focused on the application of the mannitol powder inhalation test, an indirect bronchial provocation method.
- This method assesses bronchial hyperreactivity by measuring airway response to inhaled mannitol.
- The mannitol test's diagnostic specificity, ease of execution, and standardization were key considerations.
Main Results:
- The mannitol bronchial challenge test demonstrated high diagnostic specificity in identifying bronchial hyperreactivity in asthmatic children.
- The test proved to be easy to perform and well-standardized, making it suitable for pediatric use.
- Results suggest a promising role for this indirect test in the clinical evaluation of childhood asthma.
Conclusions:
- The mannitol bronchial challenge test is a valuable and promising diagnostic tool for childhood asthma.
- Its high specificity and ease of use support its clinical application in pediatric respiratory assessments.
- Further research can solidify its role in managing pediatric asthma and bronchial hyperreactivity.
Related Concept Videos
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
The Bronchial Tree
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Asthma-I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Antiasthma Drugs: Methylxanthines
Theophylline is thought to inhibit phosphodiesterase enzymes, increasing intracellular levels of cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP). This rise in cAMP and cGMP concentrations stimulates cardiac function,...

