Journals / Klinik Tıp Pediatri Dergisi / 2019 / Cilt: 11 - Sayı: 2

Logical Approach to a Patient Presenting with Recurrent Wheezing

Tekrarlayan Hışıltı Yakınması ile Başvuran Çocuğa Akılcı Yaklaşım

Pages
118–127
Publication Date
2019-03-07
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article a case with recurrent wheezing, differential diagnosis in wheezy infant, risk factors for asthma development, prognosis and treatment will be reviewed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:AbstractRecurrent wheezing is one of the most common respiratory problems of childhood.
📊
Key Findings & Data:One third of the children has a wheezing atack in the first three years of life.
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Conclusion & Impact:In this article a case with recurrent wheezing, differential diagnosis in wheezy infant, risk factors for asthma development, prognosis and treatment will be reviewed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Tekrarlayan hışıltı · çocuk · akılcı yaklaşım

Abstract

AbstractRecurrent wheezing is one of the most common respiratory problems of childhood. One third of the children has a wheezing atack in the first three years of life. Recurrent wheezing is usually related with recurrent upper respiratory tract infections in children. Wheezing has phenotypes which occures with different phatophysiologic mechanisms. These phenotypes can have different outcomes and triggers. As a result wheezing is a heterogen situation, in this age group. Wheezing doesn’t predict asthma everytime, it can be seen with a lot of respiratory problems. Making differential diagnosis for patients with recurrent wheezing and defining asthma risk factors is important for predicting the prognosis. In this article a case with recurrent wheezing, differential diagnosis in wheezy infant, risk factors for asthma development, prognosis and treatment will be reviewed.

Özet

ÖzTekrarlayan hışıltı yakınması çocukluk çağının en sık karşılaşılan solunum problemlerinden biridir. Hayatın ilk 3 yılında her üç çocuktan biri hışıltı atağı geçirmektedir. 5yaşından küçük çocuklarda sıklıkla tekrarlayan hışıltı görülür. Çocukluk çağında tekrarlayan hışıltı, sıklıkla tekrarlayan üst solunum yolu enfeksiyonu ile ilişkilidir. Hışıltının farklı patofizyolojik mekanizmalara bağlı gelişebilen, çeşitli tetikleyicilerle ve farklı klinik seyirleri olabilen fenotipleri bulunmaktadır. Dolayısıyla, bu yaş grubunda hışıltı, oldukça heterojen bir durumdur. Hışıltı her zaman astımı öngörmez; pek çok solunum yolu probleminde görülebilir. Tekrarlayan hışıltı yakınması olan hastalarda ayırıcı tanı yapılması ve astım gelişimi için risk faktörlerinin belirlenmesi prognozu öngörmek için oldukça önemlidir. Bu makalede tekrarlayan hışıltı yakınması olan bir olguile hışıltılı çocukta ayırıcı tanısı, astım gelişimi için risk faktörleri, prognoz ve tedavi incelenecektir.

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Cite This Article

GÜNAYDIN, D. Ö. Ü. N. C. (2019). Logical Approach to a Patient Presenting with Recurrent Wheezing. Klinik Tıp Pediatri Dergisi, Cilt: 11 - Sayı: 2, 118–127. https://ajindex.com/articles/838342

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References (2)

  1. Kaynaklar 1.Martinez FD, Wright AL, Taussig LM, et al. Asthma andwheezing in the first six years of life. N Engl J Med 1995;332: 133–138. 2.Henderson J, Granell R, Heron J, Sherriff A, Simpson A,Woodcock AA, et al. Associations of wheezing phenotypesin the first six years of life with atopy, lung function andairway responsiveness in mid childhood. Thorax 2008;63:974-80. 3.Bisgaard H, Szefler S. Prevalence of asthma-like symptomsin young children. Pediatr Pulmonol 2007; 42:723-8. 4.Elphick HE, Sherlock P, Foxall G, Simpson EJ, Shiell NA,Primhak RA, et al. Survey of respiratory sounds in in-fants. Arch Dis Child 2001; 84:35–39 5.Lowe L, Murray CS, Martin L, et al. Reported versus con-firmed wheeze and lung function in early life. Arch DisChild 2004; 89:540–543. 6.2018
  2. GINA Report, Global Strategy for Asthma Manage-ment and Prevention. Available at: http:/ www. ginasth-ma.com 7.Van Der Heijden HH, Brouwer ML, Hoekstra F, Van DerPol P, Merkus PJ. Reference values of exhaled nitric oxi-de in healthy children 1-5 years using off-line tidal breat-hing. Pediatr Pulmonol 2014; 49:291-5. 8.Singer F, Luchsinger I, Inci D, et al. Exhaled nitric oxidein symptomatic children at preschool age predicts laterasthma. Allergy 2013; 68:531-8. 9.Doherty G, Bush A. Diagnosing respiratory problems inyoung children. Practitioner 2007; 251:20, 2-5. 10.Pedersen S. Preschool asthma not so easy to diagnose.Prim Care Respir J 2007; 16:4-6. 11.National Heart, Lung, and Blood Institute. Expert panelreport 3. National asthma education and preventionprogram. Section 4, Managing Asthma Long Term inChildren 0–4 Years of Age and 5–11 Years of Age 2007:282-289. 12.Taussig LM, Wright AL, Holberg CJ, Halonen M, MorganWJ, Martinez FD. Tucson Children's Respiratory Study:1980 to present. J Allergy Clin Immunol. 2003;111:661-75. 13.Martinez FD. Recognizing early asthma. Allergy 1999;54:24-8. 14.Castro-Rodríguez JA, Holberg CJ, Wright AL, MartinezFD. A clinical index to define risk of asthma in youngchildren with recurrent wheezing. Am J Respir Crit CareMed 2000;162:1403-6. 15.Sears MR. Predicting asthma outcomes. J Allergy ClinImmunol 2015;136:829-837. 16.Papadopoulos NG, Arakawa H, Carlsen KH, et al. Inter-national consensus on (ICON) pediatric asthma. Allergy2012; 67: 976–97. 17.Nagel G, Buchele G, Weinmayr G, et al. Effect of breast-feeding on asthma, lung function and bronchial hyperre-activity in ISAAC Phase II.Eur Respir J 2009; 33:993-1002. 18.Guibas GV, Makris M, Papadopoulos NG. Acute as