E.J. Duiverman
,Q. Jöbsis
,E.E.M. van Essen-Zandvliet
,W.M.C. van Aalderen
enJ.C. de Jongste
- The case history and physical examination form the cornerstones for asthma diagnosis.
- Establishing the correct diagnosis may be difficult in infants and preschool children; in such cases the progression of the symptoms over time is important.
- Routine laboratory and radiological investigations are advised against.
- Allergy testing may be useful in children under the age of 4 years.
- Lung function investigations can be used from the age of 5 to 6 years onwards.
- Non-invasive investigations into the degree of bronchial inflammation can be performed by measuring the fraction nitric oxide in exhaled air.
- House dust mite reduction is a useful measure for preventing asthma if sensitisation has been demonstrated.
- Breast-feeding during the first 4 to 6 months of life can be considered as a preventive measure in infants with an increased risk of developing asthma and allergy.
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