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[Bronchial asthma in childhood]

D Hofmann1, S Zielen

  • 1Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main.

Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|June 1, 1997
PubMed
Summary

Childhood asthma, a common chronic respiratory disease, involves inflammation and hyperresponsiveness. Long-term inhaled steroid treatment is increasingly important and shows minimal side effects in children.

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Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Environmental Health

Context:

  • Childhood asthma is the most prevalent chronic illness in pediatric populations.
  • Key symptoms include wheezing, dyspnea, and cough, stemming from inflammatory bronchial hyperresponsiveness.
  • Allergies and environmental pollution are significant contributing factors to pediatric asthma.

Purpose:

  • To define childhood bronchial asthma and its common clinical manifestations.
  • To highlight the importance of evaluating obstructive bronchitis in infants and children.
  • To discuss the role and safety of long-term inhaled corticosteroid therapy in pediatric asthma management.

Summary:

  • Bronchial asthma in children is characterized by inflammatory bronchial hyperresponsiveness, leading to symptoms like wheezing and cough.
  • Allergy is a primary cause, with environmental pollution also playing a role.
  • Malignant, hypoxemic asthma crises pose a significant mortality risk (0.5-0.8/100,000).

Impact:

  • Inhalative steroids are gaining importance for long-term pediatric asthma treatment.
  • Studies indicate that clinically relevant side effects from inhaled steroids in children are rare.
  • Improved understanding and management strategies can reduce asthma-related morbidity and mortality in children.

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