Step-wise approach tailored to patient’s needs and age (0-4 years, 5-11 years, and 12 or older).
Upwards of 50% to 80% of children who have asthma experience symptoms before the age of 5 years. Characterized by a shift to Th2 phenotype resulting in eosinophil recruitment, inflammation, and allergy.

Classification in pediatric patients determined by lowest level of treatment needed for control. Diagnosis is not straightforward in this age group, and asthma may be misdiagnosed as chronic bronchitis, wheezy bronchitis, reactive airway disease, recurrent pneumonia, gastroesophageal reflux, and recurrent upper respiratory tract infections.As a reminder of the importance of fully exploring recurrent respiratory symptoms in your young patients, the slides here distill the 4 primary components of effective asthma care as put forth in 2007 in the National Heart, Lung, and Blood Institute’s (NHLBI) Expert Panel III Report. Linked to Western lifestyle, urban living, dust mites, other allergens, antibiotic use, diet, and respiratory infections during infancy.

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