[Diagnostic criteria in asthma of children].
Actual diagnostic sriteria are represented by a large spectar of data proposed by certain authors, so generally accepted protocole does not exist for similar clinical states i.e. asthmatic bronchitis, recurrent bronchitis and bronchial asthma in childhood, there is a different diagnostic terminology. Our clinical experience, in accordance to the work of Kubos et all., for diagnosis of bronchial asthma the following criteria are needed: 1. general characteristics, 2. immunologic factors and 3. nonspecific precipitating factors. In the primary classification tovextrinsic (atopic), intrinsic (infective) and mixed form of asthma, we consider that the mixed form in pediatric population is the most frequent. In the last form of the disease, attacks are provoked by acute viral respiratory infections, while the role of allergy, metreologic and psychical factors appears by age of children. Classification of asthma on the basis of frewuency of crises, regardless of season, maw be made in the following manner: 1. light form (less than one crise per month), 2. moderate from (about one crise monthly), 3. severe form (several crises during the month) and 4. very severe form (with permanent symptoms). Beside presented criteria, we used data of personal and familly history, climate conditions of environment, as well as the results of previous treatment in climate stations.
Radivojević
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Radivojević
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D001249:Asthma / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D006801:Humans