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Published on: November 4, 2010
Clinical characteristics of black asthmatic children
Insights
This study on pediatric asthma in Black children found cough to be the most common symptom. House-dust mite sensitivity was prevalent, challenging previous altitude-related beliefs.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Epidemiology
Background:
- Asthma is a significant health concern in children.
- Understanding symptom triggers and allergen sensitivities is crucial for effective management.
- Previous research suggested limited house-dust mite prevalence at higher altitudes.
Purpose of the Study:
- To investigate the clinical characteristics of asthma in Black children.
- To identify common symptom triggers and associated atopic conditions.
- To determine allergen sensitivities, including house-dust mites, in this population.
Main Methods:
- A prospective study involving 455 Black children with asthma.
- Standardized questionnaires for medical history and symptom assessment.
- Allergen skin prick testing to identify sensitivities.
Main Results:
- Cough was the most frequent presenting symptom.
- Upper respiratory tract infections, exercise, and cold weather were common triggers.
- House-dust mite sensitivity was found in 44.2% of children, contradicting prior assumptions.
- Associated atopic conditions were present in 75.5% of patients.
Conclusions:
- Pediatric asthma in this cohort is characterized by common triggers like infections and environmental factors.
- High prevalence of house-dust mite sensitivity suggests its importance regardless of altitude.
- Comprehensive allergy assessment is vital for managing childhood asthma effectively.
Abstract:
A prospective study of 455 black asthmatic children (277 boys) attending the Baragwanath Hospital asthma clinic was undertaken. A history was obtained by means of a standardised questionnaire and skin tests were performed. Cough was the commonest presenting symptom and upper respiratory tract infections, exercise and cold weather the commonest symptom precipitants. The relative incidences of the other precipitants reflected the environment of the study population. Associated atopic conditions were present in 75.5% of patients and a family background in 22.2%. Other respiratory diagnoses were commonly made, particularly tuberculosis, which was diagnosed in 7.4%. Fewer than one-third had no positive skin reaction. The commonest allergens were grasses, pollen and house-dust mites. The high proportion of house-dust mite sensitivity (44.2%) contradicts beliefs that they are rare at higher altitudes.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma I: Introduction
Asthma III: Clinical Manifestations

