Asthma in childhood: controversies that lead to underdiagnosis

Asma en la infancia: controversias que conllevan al subdiagnóstico

Published 2015-07-20

Open | Download
PDF (Spanish) FLIP
Issue
Vol. 27 No. 3 (2015): Edición Especial: Asma
Section
Topics review
How to Cite
Asthma in childhood: controversies that lead to underdiagnosis.
rev. colomb. neumol. [Internet]. 2015 Jul. 20 [cited 2024 Nov. 24];27(3). Disponible en: https://doi.org/10.30789/rcneumologia.v27.n3.2015.80
DOI

https://doi.org/10.30789/rcneumologia.v27.n3.2015.80
Dimensions
PlumX
license

Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo  los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.

José Miguel Escamilla Arrieta, MD.
Universidad de Cartagena. Universidad del Sinú. Hospital Infantil Napoleón Franco Pareja. Cartagena, Colombia.
    María Isabel Escamilla, MD.
    Universidad Militar Nueva Granada, Hospital Militar Central. Bogotá, Colombia.
      César Andrés Muñoz Mejía, MD., MSc.
      Universidad del Sinú. Cartagena, Colombia.
        Show authors biography

        José Miguel Escamilla Arrieta, MD.,

        Médico Neumólogo Pediatra. Profesor titular Departamento de Pediatría, Universidad de Cartagena. Profesor Posgrado de Pediatría, Universidad del Sinú. Director Departamento de Neumología y Alergia Pediátrica, Hospital Infantil Napoleón Franco Pareja. Cartagena, Colombia.

        María Isabel Escamilla, MD.,

        Médico Residente de Pediatría. Universidad Militar Nueva Granada, Hospital Militar Central. Bogotá, Colombia.

        César Andrés Muñoz Mejía, MD., MSc.,

        Médico Inmunólogo, Residente de Pediatría. Universidad del Sinú. Cartagena Colombia.
        Asthma is the most common chronic disease occurring in childhood. It leads to many complications, and has therefore become a public health concern. Broncho-obstructive symptoms are much more often reported than the medical diagnosis of childhood asthma, which suggests that there is a tendency to disavow the fact that children suffer from this disease. Eventually, this leads to delayed diagnosis. The reluctance to classify patients as suffering from asthma, the lack of diagnostic consensus, the multiple phenotypes, the flexibility of severity scores, and the lack of awareness of childhood asthma as an intermittent but potentially serious disease are factors of medical management that could favor high morbidity. This review states that it is necessary to be more assertive in diagnosing childhood asthma, in order to avoid delayed initiation of adequate treatment.

        Article visits 1394 | PDF visits 726

        Downloads

        Download data is not yet available.
        1. Centers for Disease Control and Prevention, National Health Interview Survey--2011. Available online Last accessed. 2015;1:143.
        2. Mallol J. Asma del lactante: Bases para el diagnóstico y tratamiento. Pulmão RJ. 2013;22(3):48-52.
        3. Martinez FD. Present and future treatment of asthma in infants and young children. J Allerg Clin Immunol. 1999;104(4 Pt 2):169-74.
        4. Martinez FD. The origins of asthma and chronic obstructive pulmonary disease in early life. Proc Am Thorac Soc. 2009;6(3):272-7.
        5. National Asthma Education Prevention Program. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. J Allerg Clin Immunol. 2007;120(5 Suppl):S94-138.
        6. Caraballo L, Cadavid A, Mendoza J. Prevalence of asthma in a tropical city of Colombia. Ann Allerg. 1992;68(6):525-9.
        7. Dennis RJ, Caraballo L, Garcia E, Rojas MX, Rondon MA, Perez A, et al. Prevalence of asthma and other allergic conditions in Colombia 2009-2010: a cross-sectional study. BMC Pulmonary Medicine. 2012;12:17.
        8. Brand PL, Baraldi E, Bisgaard H, Boner AL, Castro-Rodriguez JA, Custovic A, et al. Definition, assessment and treatment of wheezing disorders in preschool children: an evidence-based approach. Eur Resp J. 2008;32(4):1096-110.
        9. Schultz A, Brand PL. Episodic viral wheeze and multiple trigger wheeze in preschool children: a useful distinction for clinicians? Paediat Resp Rev. 2011;12(3):160-4.
        10. Phelan PD OA, Oswald H. Asthma: classification, clinical patterns and natural history. Clinical paediatrics. London: Ed. Bailliere Tindall; 1995.
        11. Warner JO, Naspitz CK. Third International Pediatric Consensus statement on the management of childhood asthma. International Pediatric Asthma Consensus Group. Pediat Pulmonol. 1998;25(1):1-17.
        12. V. M. Evidence-based paediatrics and child health. London, UJ: BMJ Books; 2000.
        13. Castillo Laita JA, De Benito Fernández J, Escribano Montaner A, Fernández Benítez M, García de la Rubia S, Garde Garde J, et al. Consenso sobre tratamiento del asma en pediatría. Anal Pediat. 2007;67(3):253-73.
        14. ACNP. Guía de práctica clínica (GPC) para el diagnóstico, atención integral y seguimiento de niños y niñas con diagnóstico de asma. 2013.
        15. Vega-Briceño LE, Prado F, Sánchez I. Fenotipos de asma en el lactante y preescolar. Boletín de la Escuela de Medicina. 2005;30(2):26-30.
        16. Ducharme FM, Dell SD, Radhakrishnan D, Grad RM, Watson WT, Yang CL, et al. Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper. Can Resp J. 2015;22(3):135-43.
        17. Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy. 2004;59(5):469-78.
        18. Pearce N, Aït-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, et al. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2007;62(9):758-66.
        19. Rodriguez C, Sossa M, Goss CH. Factors associated with severe disease in a population of asthmatic children in Bogotá, Colombia. J Asthma. 2008;45:141-147.
        20. Dennis R, Caraballo L, García E, Caballero A, Aristizábal G, Córdoba H, et al. Asthma and other allergic conditions in Colombia: a study in 6 cities. Ann Allerg, Asthma & Immunol. 2004;93(6):568-74.
        21. Clark BR, Burkett SA, Andridge RR, Buckley TJ. Evidence of high rates of undiagnosed asthma in central Ohio elementary schoolchildren. J School Health. 2013;83(12):896-906.
        22. Akinbami LJ, LaFleur BJ, Schoendorf KC. Racial and income disparities in childhood asthma in the United States. Ambulatory Pediatrics. 2002;2(5):382-7.
        23. Murthy K, Sastry J. Economic burden of asthma. Burden of Disease in India. 2005:251.
        24. Mallol J, Andrade R, Auger F, Rodriguez J, Alvarado R, Figueroa L. Wheezing during the first year of life in infants from low-income population: a descriptive study. Allergologia et Immunopathologia. 2005;33(5):257-63.
        25. Bryce J, Boschi-Pinto C, Shibuya K, Black RE, Group WCHER. WHO estimates of the causes of death in children. The Lancet. 2005;365(9465):1147-52.
        26. Cabezuelo HG, Vidal MS, Abeledo GA, Frontera IP, editors.[Underlying causes of recurrent pneumonia]. Anal Pediat. (Barcelona, Spain: 2003); 2005.
        27. Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. New Eng J Med. 1995;332(3):133-8.
        28. Bacharier LB, Boner A, Carlsen KH, Eigenmann PA, Frischer T, Gotz M, et al. Diagnosis and treatment of asthma in childhood: a PRACTALL consensus report. Allergy. 2008;63(1):5-34.
        29. Castro-RoDRíguez J. Factores de riesgo para asma infantil. Neumol Pediat. 2006;1:55-8.
        30. Bush A. Phenotype specific treatment of asthma in childhood. Paediat Resp Rev. 2004;5 Suppl A:S93-101.
        31. Townshend J, Hails S, McKean M. Management of asthma in children. BMJ. 2007;335(7613):253-7.
        32. Gern JE. Viral respiratory infection and the link to asthma. Pediat Infect Dis J. 2008;27(10 Suppl):S97-103.
        33. Just J, Fournier L, Momas I, Zambetti C, Sahraoui F, Grimfeld A. Clinical significance of bronchoalveolar eosinophils in childhood asthma. J Allerg Clin Immunol. 2002;110(1):42-4.
        34. Weinmayr G, Weiland SK, Bjorksten B, Brunekreef B, Buchele G, Cookson WO, et al. Atopic sensitization and the international variation of asthma symptom prevalence in children. Am J Resp Crit Care Med. 2007;176(6):565-74.
        35. Penny ME, Murad S, Madrid SS, Herrera TS, Pineiro A, Caceres DE, et al. Respiratory symptoms, asthma, exercise test spirometry, and atopy in schoolchildren from a Lima shanty town. Thorax. 2001;56(8):607-12.
        36. Garcia-Marcos L. EISL study (Estudio Internacional de Sibilancias en Lactantes): A global perspective of wheezing during the first year of life. Allergologia et immunopathologia. 2016;44(1):1-2.
        37. Guerra S, Lohman IC, Halonen M, Martinez FD, Wright AL. Reduced interferon gamma production and soluble CD14 levels in early life predict recurrent wheezing by 1 year of age. Am J Resp Crit Care Med. 2004;169(1):70-6.
        38. Grainge CL, Lau LC, Ward JA, Dulay V, Lahiff G, Wilson S, et al. Effect of bronchoconstriction on airway remodeling in asthma. New Eng J Med. 2011;364(21):2006-15.
        39. Warner JO, Gotz M, Landau LI, Levison H, Milner AD, Pedersen S, et al. Management of asthma: a consensus statement. Arch Dis Childhood. 1989;64(7):1065-79.
        40. Bacharier LB, Phillips BR, Bloomberg GR, Zeiger RS, Paul IM, Krawiec M, et al. Severe intermittent wheezing in preschool children: a distinct phenotype. J Allergy Clin Immunol. 2007;119(3):604-10.
        41. Moral VP. GEMA 4.0. Guía española para el manejo del asma. Arch Bronconeumol. 2015;51:2-54.
        42. Guía de práctica clínica en el tratamiento del niño con asma. Guía No 4. Eds.: Álvaro Posada Díaz, William Parra Cardeño. Segunda ed. Bogotá. Asociación Colombiana de Neumología Pediátrica; 2010. p.17.
        43. Murphy KR, Zeiger RS, Kosinski M, Chipps B, Mellon M, Schatz M, et al. Test for respiratory and asthma control in kids (TRACK): a caregiver-completed questionnaire for preschool-aged children. J Aallerg Clin Immunol. 2009;123(4):833-9 e9.
        44. Agertoft L, Pedersen S. Effects of long-term treatment with an inhaled corticosteroid on growth and pulmonary function in asthmatic children. Resp Med. 1994;88(5):373-81.
        45. Guilbert TW, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler SJ, et al. Long-term inhaled corticosteroids in preschool children at high risk for asthma. New Eng J Med. 2006;354(19):1985-97.
        46. Castro-Rodriguez JA, Rodrigo GJ. Efficacy of inhaled corticosteroids in wheezy infants/preschoolers. Resp Med. 2013; 107(1):153-4.
        47. Merkus PJ, de Jongste JC. Inhaled corticosteroids in wheezy infants. Am J Respir Crit Care Med. 2005;172(8):1058-9; author reply 9.
        48. Warner J, Naspitz C, Cropp G. Third International Pediatric Consensus statement on the management of childhood asthma. Pediat Pulmonol. 1998;25(1):1-17.
        49. Castro-Rodriguez JA, Rodrigo GJ. Efficacy of inhaled corticosteroids in infants and preschoolers with recurrent wheezing and asthma: a systematic review with metaanalysis. Pediatrics. 2009;123(3):e519-25.
        50. Castro-Rodriguez JA, Custovic A, Ducharme FM. Treatment of asthma in young children: evidence-based recommendations. Asthma Research and Practice. 2016; 2(1):1.

        Information

        Journal history

        Keywords

        QR code

        Funding

        Support + Info: Here

         

         

        Directories and indexes

        Google Scholar profile

        Most read in the last 30 days

        Current Issue

        Sistema OJS 3.4.0.7 - Metabiblioteca |