What should be considered when staging pediatric asthma?

Updated: Jan 08, 2019
  • Author: Girish D Sharma, MD, FCCP, FAAP; Chief Editor: Kenan Haver, MD  more...
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Answer

An important point to remember is that the presence of one severe feature is sufficient to diagnose severe persistent asthma. In addition, the characteristics in this classification system are general and may overlap because asthma severity varies widely. In addition, a patient’s classification may change over time .

Patients with asthma of any level of severity may have mild, moderate, or severe exacerbations.

Some patients with intermittent asthma have severe and life-threatening exacerbations separated by episodes with almost normal lung function and minimal symptoms; however, they are likely to have other evidence of increased BHR (eg, on exercise or challenge testing) due to ongoing inflammation.


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