HISSING RESPIRATION EPISODES IN INFANTS. IS IT ALWAYS ASTHMA?


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Resumo

Hissing respiration is common in infants. Sometimes it can be debut of bronchial asthma. The basis of treatment of such conditions typically includes bronchodilators in combination with corticosteroids. In some cases, however, hissing respiration is due to other causes (anatomic abnormalities, respiratory tract infections, gastrointestinal pathology), and in such situations, standard therapy is usually ineffective. This article discusses some of the issues of diagnostic approaches based on a recent American Thoracic Society document.

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Sobre autores

D. Macharadze

Peoples' Friendship University of Russia

Email: Dalim_a@mail.ru
MD, Prof. Moscow

B. Kulumbegov

Center for Allergy and Immunology

Tbilisi

Bibliografia

  1. Devulapalli C., Carlsen K., Haland G., Munthe-Kaas M., Pettersen M., Mowinckel P, Carlsen K. Severity of obstructive airways disease by age 2 years predicts asthma at 10 years of age. Thorax. 2008; 63: 8-13.
  2. Bacharier L., Phillips B., Bloomberg G., Zeiger R., Paul I., Krawiec M., Guilbert T., Chinchilli ., Strunk R. Childhood Asthma Research and Education Network, National Heart, Lung, and Blood Institute. Severe intermittent wheezing in preschool children: a distinct phenotype. J. Allergy Clin. Immunol. 2007; 119: 604-10.
  3. Ren C., Esther Ch. Jr., Debley J., Sockrider M., Yilmaz O., Amin N., Bazzy-Asaad A., Davis S., Durand M., Ewig J., Yuksel H., Lombardi E., Noah T., Radford P., Ranganathan S., Teper A., Weinberger A., Brozek J., Wilson K. on behalf of the ATS Ad Hoc Committee on Infants with Recurrent or Persistent Wheezing. Official American Thoracic Society Clinical Practice Guidelines: Diagnostic Evaluation of Infants with Recurrent or Persistent Wheezing. Am. J. Respir. Crit. Care Med. 2016; 194: 356-73.
  4. Федеральные клинические рекомендации по лечению атопической бронхиальной астмы. М., 2015. 39 с.

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