Update in Pediatric Asthma: Selected Issues.

Autor: Azmeh R; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Greydanus DE; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States. Electronic address: Donald.Greydanus@med.wmich.edu., Agana MG; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Dickson CA; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States; Health Equity and Community Affairs, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan, United States., Patel DR; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Ischander MM; Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Lloyd RD Jr; Pacific Northwest University of Health Sciences College of Osteopathic Medicine, Yakima, Washington, United States.
Jazyk: angličtina
Zdroj: Disease-a-month : DM [Dis Mon] 2020 Apr; Vol. 66 (4), pp. 100886. Date of Electronic Publication: 2019 Sep 27.
DOI: 10.1016/j.disamonth.2019.100886
Abstrakt: Asthma is a complex condition that affects 14% of the world's children and the approach to management includes both pharmacologic as well as non-pharmacologic strategies including attention to complex socioeconomic status phenomena. After an historical consideration of asthma, allergic and immunologic aspects of asthma in children and adolescents are presented. Concepts of socioeconomic aspects of asthma are considered along with environmental features and complications of asthma disparities. Also reviewed are links of asthma with mental health disorders, sleep disturbances and other comorbidities. A stepwise approach to asthma management is discussed that includes pharmacologic and non-pharmacologic strategies in the pediatric population. The role of immunotherapy and use of various immunomodulators are considered as well.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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