Korean J Pediatr.  2012 Aug;55(8):259-264. 10.3345/kjp.2012.55.8.259.

Early childhood wheezing: various natural courses and their relationship to later asthma

Affiliations
  • 1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. kohyy@plaza.snu.ac.kr

Abstract

Wheezing is one of the most frequent complaints that lead to the use of medical resources in younger children. Generally, wheezing is caused by bronchiolitis and resolves spontaneously without recurrence, but sometimes, wheezing can progress into asthma. Early data on the natural history of childhood wheezing was mostly obtained from retrospective reviews of medical records or from questionnaires, which made it difficult to exclude biases. Now that many cohort studies are available, reviewing the results of birth cohort studies makes it possible to understand the natural course of early childhood wheezing and the risk factors for asthma. In this study, we have reviewed the various phenotypes of early childhood wheezing and their natural courses to help select the most appropriate management modalities for the different types of early childhood wheezing.

Keyword

Asthma; Preschool child; Cohort studies; Infant; Wheezing

MeSH Terms

Asthma
Bias (Epidemiology)
Bronchiolitis
Child
Child, Preschool
Cohort Studies
Humans
Infant
Medical Records
Natural History
Parturition
Phenotype
Surveys and Questionnaires
Recurrence
Respiratory Sounds
Retrospective Studies
Risk Factors
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