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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
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Exercise-Induced Bronchospasm and Allergy.

Serena Caggiano1,2, Renato Cutrera1,2, Antonio Di Marco1,2

  • 1Respiratory Intermediate Care Unit, Pediatric Department, Bambino Gesù Children's Hospital, Rome, Italy.

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|June 24, 2017
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Summary
This summary is machine-generated.

Exercise-induced bronchoconstriction (EIB) can limit children's sports participation. Early recognition and appropriate treatment, considering atopy, enable affected children to engage in physical activity safely.

Keywords:
allergyasthmaatopychildrenexercise-induced bronchospasmsport

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Area of Science:

  • Pediatric Pulmonology
  • Sports Medicine
  • Allergy and Immunology

Background:

  • Exercise-induced bronchoconstriction (EIB) negatively impacts childhood physical activity.
  • Recognizing EIB, with or without asthma, is crucial for effective treatment selection.
  • Atopy is a significant risk factor for EIB, with links to allergic rhinitis and adult asthma development.

Purpose of the Study:

  • To highlight the importance of diagnosing and managing exercise-induced bronchoconstriction in children.
  • To discuss diagnostic methods for EIB, including alternatives for young children.
  • To emphasize the role of atopy in EIB and its long-term implications.

Main Methods:

  • Diagnosis of EIB relies on lung function tests measuring airway changes after exercise.
  • Spirometry, assessing forced expiratory volume in 1 second (FEV1), is a gold standard.
  • Interrupter resistance combined with spirometry is a viable alternative for preschool-aged children.

Main Results:

  • EIB significantly reduces participation in physical activity for children.
  • Up to 40% of pediatric EIB cases are associated with allergic rhinitis.
  • Approximately 30% of these children may develop adult asthma, following the atopic march.

Conclusions:

  • Accurate diagnosis and tailored treatment strategies are essential for managing EIB in children.
  • Selecting appropriate sports and implementing preventive measures allow children with EIB to participate fully in physical activities.
  • Understanding the link between atopy and EIB is key for long-term health management and preventing asthma progression.