[Involvement of distal airways in asthma: lessons from pediatric cohorts].

Abstract:

INTRODUCTION:Prospective studies of paediatric cohorts contribute to our knowledge of changes in pulmonary function in children with asthma. STATE OF THE ART:Asthma is associated with a significant impairment of the distal airways which is more pronounced when asthma has started early, before 5 years of age, or when asthma is persistent. In utero exposure to tobacco smoke allergenic sensitization and persistent bronchial hyperresponsiveness are the main factors associated with an unfavourable respiratory function outcome. This impairment may persist despite the disappearance of symptoms. Distal airway alterations are also poorly responsive to conventional inhaled corticosteroid therapy. This could be due to early remodelling phenomenon or non-optimal deposition of the drugs on distal airways. PERSPECTIVES AND CONCLUSIONS:The medium and long term clinical implications of distal airway involvement in paediatric asthma and the impact of treatment need to be evaluated.

journal_name

Rev Mal Respir

authors

Delacourt C,Dubus JC,de Blic J

doi

10.1016/s0761-8425(09)71592-x

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

147-52

issue

2

eissn

0761-8425

issn

1776-2588

pii

MDOI-RMR-02-2009-26-2-0761-8425-101019-200900746

journal_volume

26

pub_type

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