Abstract
A 6-year-old male is brought to his pediatrician by his mother for an unrelenting cough.The patient is an otherwise healthy child except for some allergies to dust and pollen that he has experienced for the past 2 to 3 years. His cough is intermittent and dry in nature. He has had no fevers, mucus production, or sore throat, and denies any other symptoms. The cough is worse at night and often keeps him up for 30 to 60 minutes before he can get back to sleep. The boy’s mother has tried over-the-counter cough suppressants but they have only shown minimal effect. He is beginning to become very sleepy during the day and is having trouble focusing in school secondary to being overly tired.
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References
Guill, MF.Asthma update:epidemiology and pathophysiology.PediatrRev 2004;25:299–305.
American Lung Association. Asthma and children fact sheet.Available from:http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=44352.Accessed January 2,2005.
Steyer TE, Mallin R, Blair M. Pediatric asthma.Clin FamPract 2003;5:343.
Akinbami LJ, Schoendorf KC.Trends in childhood asthma:prevalence,health care utilization, and mortatlity.Pediatrics 2002;110:315–322.
Taussig LM, Wright AL, Holberg CT, Hanonen M, Morgan WJ, Martinez FD. Tucson children’s respiratory study:1980 to present. J Allergy Clin Immunol 2003;111:661–675.
Behrman R, Kliegman RM, Jenson HB. Nelson Textbook of Pediatrics,17th ed. Elsevier, Philadelphia, 2004; pp.760–774.
Martinez FD, Wright AL, Taussig LM, et al.Asthma and wheezing in the first six years of life. New Engl J Med 1995;332:133–138.
National Asthma Education and Prevention Program. Guidelines for the diagnosis and management of asthma:update on selected topics-2002.US Department of Health and Human Services,Public Health Service, National Institutes of Health,National Heart,Lung, and Blood Institute,Bethesda, MD, 2003; NIH publication no. 02-5074.
National Asthma Education and Prevention Program. Guidelines for the diagnosis and management of asthma:expert panel report 2. US Department of Health and Human Services, Public Health Service,National Institutes of Health,National Heart, Lung, and Blood Institute, Bethesda,MD, 2003;NIH publication no.97-4051.
Kumar V, Abbas AK, Faust N. Robbins and Cotran Pathologic Basis of Disease, 7th ed. Elsevier, Philadelphia, 2005; pp.723–727.
Zhu Z, Chupp G, Homer RJ. Airway Remodeling in Asthma. J Clin Invest 1999;104:1001–1006.
Burkhart PV, Ward HJ. Children’s self-reports of characteristics of their asthma episodes. J Asthma 2003;40:909–916.
Michael MA. Scope and impact of pediatric asthma. Nurse Pract 2002;27:3–6.
Mintz M. Asthma update: part II. Medical management. Am Fam Physician 2004;70:1061–1066.
Shrewsbury S, Pyke S, Britton M.Meta-analysis of increased dose of inhaled steroid or addition of salmeterol in symptomatic asthma.BMJ 2000;320:1368–1373.
Nelson HS, Busse WW, Kerwin E, et al.Fluticasone propionate/salmeterol combination provides more effective asthma control than low-dose inhaled corticosteroid plus montelukast. J Allergy Clin Immunol 2000;106:1088–1095.
Guill MF. Asthma update:clinical aspects and management.Pediatr Rev 2004;25:335–344.
Adams BK, Cydulka RK. Asthma evaluation and management. Emerg Med Clin North Am 2003;21:315–330.
Rowe BH, Spooner CH, Ducharme FM, et al. Early emergency department treatment of acute asthma with systemic corticosteroids. Cochrane Database Sys Rev 2001;1:CD000195.
Mintz M. Asthma update part I:diagnosis, monitoring and prevention of disease progression. Am Fam Physician 2004;70:893–898.
Gibson PG, Powell H, Coughlan J, et al. Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev 2004;(1):CD001117.
Kelly HW. The assessment of childhood asthma. Pediatr Clin North Am 2003;50:593–608.
Becker,A.B. Challenges to treatment goals and outcomes in pediatric asthma. J Allergy Immunol 2002;109:1–11.
Abbott A. Beta-blocker goes on trial as asthma therapy.Nature. 2003.Available from: http://www.nature.com/news/2004/041101/pf/432007a_pf.html. Accessed January 3, 2005.
Murphy KR, Bukstein DA, Katz LM, et al. Earlier use of nebulized inhaled corticosteroids is associated with fewer asthma exacerbations in young children. J Allergy Clin Immunol 2005;115:S1.
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Dafnis, K., Mintz, M.L. (2006). Pediatric Asthma. In: Mintz, M.L. (eds) Disorders of the Respiratory Tract. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-041-6_10
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DOI: https://doi.org/10.1007/978-1-59745-041-6_10
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