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Paediatric Pulmonology and Allergology

2003 October, Vol. VI, No. 2 (pp.2248-2255)

 


The importance of bronchial hyperresponsiveness diagnosing bronchial asthma in childhood


Laimute Vaideliene, Jurgis Bojarskas


 

Not much is still known about bron­chial hy­per­re­ac­ti­vi­ty in ast­hma­tic and al­ler­gic chil­dren. The task of our stu­dy was to eva­lu­a­te the re­la­tions­hip of bron­chial hy­per­res­pon­si­ve­ness, ast­hma and ot­her al­ler­gic di­se­a­ses in child­ho­od. Ac­cor­ding our re­sults, bron­chial hy­per­res­pon­si­ve­ness was not found on­ly in 29,0 proc. of chil­dren, al­ler­gic to so­me ae­ro­al­ler­gens and ha­ving so­me symp­toms of al­ler­gy. Even 27,3 proc. of chil­dren had po­si­ti­ve bron­chial hy­per­res­pon­si­ve­ness tests, not ha­ving cli­ni­cal symp­toms of obst­ruc­tion. Po­si­ti­ve bron­chial hy­per­res­pon­si­ve­ness test was found in all 30 chil­dren, ha­ving ast­hma symp­toms, but ast­hma was diag­no­sed on­ly in 70 proc. of the­se pa­tients. 70 proc. of chil­dren, ha­ving al­ler­gic rhi­ni­tis symp­toms wit­hout whe­e­zing, had bron­chial hy­per­res­pon­si­ve­ness, ass well. Bron­chial hy­per­res­pon­si­ve­ness was not exis­ting in chil­dren with ato­pic der­ma­ti­tis symp­toms on­ly. Our da­ta sho­wed, that dry cough in chil­dren, al­ler­gic to so­me ae­ro­al­ler­gens was re­la­ted with bron­chial hy­per­res­pon­si­ve­ness mo­re of­ten (80 proc.) in com­pa­ri­son with non al­ler­gic chil­dren (50 proc.) and da­ta we­re sta­tis­ti­cal­ly sig­ni­fi­cant.

 

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