Severe asthma in childhood

Asma infantil severa

Published 2015-07-20

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Vol. 27 No. 3 (2015): Edición Especial: Asma
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Presentación de casos
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Severe asthma in childhood.
rev. colomb. neumol. [Internet]. 2015 Jul. 20 [cited 2024 Nov. 24];27(3). Disponible en: https://doi.org/10.30789/rcneumologia.v27.n3.2015.88
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https://doi.org/10.30789/rcneumologia.v27.n3.2015.88
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Milena Villamil Osorio, MD.
Hospital de la Misericordia. Universidad El Bosque. Bogotá, Colombia.
    Sonia M. Restrepo Gualteros, MD.
    Universidad Nacional de Colombia. Universidad El Bosque. Hospital de la Misericordia. Bogotá, Colombia.
      Carlos E. Rodríguez Martínez, MD.
      Universidad Nacional de Colombia. Universidad El Bosque. Universidad Militar Nueva Granada. Bogotá, Colombia.
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        Milena Villamil Osorio, MD.,

        Neumóloga Pediatra Hospital de la Misericordia. Universidad El Bosque. Bogotá, Colombia.

        Sonia M. Restrepo Gualteros, MD.,

        Neumóloga Pediatra. Universidad Nacional de Colombia. Universidad El Bosque. Hospital de la Misericordia. Bogotá, Colombia.

        Carlos E. Rodríguez Martínez, MD.,

        Neumólogo Pediatra. Universidad Nacional de Colombia. Universidad El Bosque. Universidad Militar Nueva Granada. Bogotá, Colombia. Bogotá, Colombia.
        Asthma is a chronic diseased characterized by an heterogeneous worldwide distribution and important differences between children and adults. It includes all ethnic groups and has considerable socioeconomic impact. The severe form affects 4,5% of the pediatric population. We describe the case of a patient with severe asthma and review the literature. The attempt has been made to describe the phenotypes of severe asthma in children considering 4 groups: of late initiation with normal pulmonary function, of early initiation, atopic with normal pulmonary function, of early atopic initiation with slight airflow limitation, and of early initiation with advanced airflow limitation. Treatment includes pharmacologic and nonpharmacologic management, and adherence to ordered measures is fundamental.

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