Wheezing Disorders in the Pre-School Child: Pathogenesis and Management, 1st Edition (Hardback) book cover

Wheezing Disorders in the Pre-School Child

Pathogenesis and Management, 1st Edition

By Fernando D. Martinez, Simon Godfrey

CRC Press

168 pages | 35 B/W Illus.

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Hardback: 9781841841557
pub: 2003-09-04
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pub: 2003-09-04
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Description

The infant with persistent or recurrent wheeze during the first 2 years of life poses a particularly difficult diagnostic dilemma, which can be a source of considerable anxiety to both physicians and parents. Without neglecting basic science, Wheezing Disorders in the Preschool Child presents information in a logical and readable fashion that is particularly useful to the practicing clinicians. Simon Godfrey and Fernando Martinez, two internationally respected opinion leaders in the field of respiratory disorders in childhood, provide a comprehensive overview of the diagnosis and management of paediatric asthma.

Focusing on practical issues, the authors expose the lack of existing data on the etiology and pathophysiology of the disease process, outline the optimal approach to diagnosis and management, and discuss the importance of early wheezing as a predictor of the future development of chronic respiratory symptoms in later life. They discuss a simple, logical, and safe approach to management bases on trial and error, that ensures that patients do not continue to receive treatment that is ineffective. The book blends the latest information with practical experience.

Reviews

"…successfully melds a state of the art review of the subject with practical guidance to aid clinicians dealing with the wheezing infant. I enjoyed reading it and would recommend it to all my colleagues." - Pediatric Allergy & Immunology

Table of Contents

Preface

EPIDEMIOLOGY OF WHEEZING IN INFANTS AND PRESCHOOL CHILDREN

Incidence of First Episodes of Wheezing

Infection as a Factor in the Etiology of Wheezing

Recurrence of Wheezing and its Causes

What Becomes of the Wheezy Infant and Preschool Child?

RESPIRATORY SYNCYTIAL VIRUS (RSV) INFECTION AND WHEEZING

Introduction

Clinical Presentations

Diagnosis

Epidemiology

Genetics

Treatment

Prevention

IMMUNOLOGY OF WHEEZING DISORDERS IN INFANTS AND PRESCHOOL CHILDREN

Immunology of Wheezing Not Related to Atopy

Immunology of Atopic Wheezing

Towards a Unified Theory of the Beginnings of Wheezing Disorders

Immunology of Wheezing at the Beginnings of Life: A Comprehensive View

CLINICAL FEATURES OF THE WHEEZY INFANT

Introduction

How Well Do Parents Recognize Wheezing in Their Children

Clinical Features of the Typical Wheezy Infant and Preschool Child

Management Decisions

Clinical Features of the Atypical Wheezy Infant and Preschool Child

LUNG FUNCTION IN THE WHEEZY INFANT AND PRESCHOOL CHILD

Basic Pulmonary Physiology Relevant to Disorders Associated with Wheezing

How are Tests of Lung Function Used Clinically in Older Subjects with Obstructive Lung Disease?

Lung Function Tests for the Very Young

Lung Function in the Typical Wheezy Infant

Bronchial Responsiveness in the Typical Wheezy Infant

Prognosis of Altered Lung Function in the Typical Wheezy Infant

Lung Infection in the Atypical Wheezy Infant

Bronchial Hyperresponsiveness in the Preschool Child

Is There a Place for Tests of Lung Function in the Wheezy Infant?

THE WHEEZY INFANT AND PRESCHOOL CHILD: DIFFERENTIAL DIAGNOSIS

Introduction

Important Conditions Which May Present as Atypical Wheezing

What Should Arouse Suspicion of an Atypical Cause of Wheezing?

When Suspicion of Atypical Wheezing is Aroused What Tools are Available to Help with Diagnosis?

Conclusions

MANAGEMENT OF WHEEZING IN INFANTS AND PRESCHOOL CHILDREN

Introduction

First Time Wheezing in Early Infancy

Recurrent Wheezing in Infancy and Early Childhood

Making the Correct Diagnosis of Recurrent Wheezing

Evaluation of Severity of Wheezing Attacks

Management Plan for the Wheezy Infant and Preschool Child

Medications Used in the Management Plan for the Wheezy Infant and Preschool Child

Delivery Devices for Inhalation Suitable for Infants and Young Children

Treating the Wheezy Infant of Preschool Child Who Does not Respond to Medication

Effect of Treatment on Long-Term Prognosis

PROPOSALS FOR THE FUTURE

Introduction

Studies to Establish the Relationship Between Genetic Predisposition, Environmental Exposure, and the Various Types of Typical Wheezing in Infancy and Early Childhood

Studies of the Genetics, Risk Factors for and the Treatment of Acute Bronchiolotis due to Respiratory Syncytial Virus (RSV)

Studies of the Immunologic Basis of Wheezing Diseases of Infancy and Early Childhood

Studies of the Clinical and Functional Evaluation of the Typical Wheezy Infant and Preschool Child

Studies of the Prevention and Treatment of the Typical Wheezy Infant and Preschool Child

Subject Categories

BISAC Subject Codes/Headings:
MED069000
MEDICAL / Pediatrics
MED079000
MEDICAL / Pulmonary & Thoracic Medicine