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Monitoring asthma in childhood: management-related issues

Bart L. Rottier, Ernst Eber, Gunilla Hedlin, Steve Turner, Edwina Wooler, Eva Mantzourani, Neeta Kulkarni  on behalf of the ERS Task Force Monitoring Asthma in Children
European Respiratory Review 2015 24: 194-203; DOI: 10.1183/16000617.00003814
Bart L. Rottier
1Dept of Pediatric Pulmonology and Allergology, GRIAC Research Institute, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Ernst Eber
2Respiratory and Allergic Disease Division, Dept of Paediatrics and Adolescence Medicine, Medical University of Graz, Graz, Austria
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Gunilla Hedlin
3Dept of Women's and Children's Health and Centre for Allergy Research, Karolinska Institutet, Stockholm, Sweden
4Astrid Lindgren Children's Hospital, Stockholm, Sweden
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Steve Turner
5Dept of Paediatrics, University of Aberdeen, Aberdeen, UK
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Edwina Wooler
6Royal Alexandra Children's Hospital, Brighton, UK
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Eva Mantzourani
7Dept of Paediatrics, University Hospital of Heraklion, University of Crete, Heraklion, Greece
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Neeta Kulkarni
8Leicestershire Partnership Trust and Dept of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK
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  • Article
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Tables

  • Additional Files
  • TABLE 1

    Symptoms and signs of rhinitis/rhinosinusitis

    Typical symptoms and signs of (allergic) rhinitis
     Runny nose
     Congestion
     Sneezing
     Nasal itching (check for allergic salute, allergic crease and shiners)
    Atypical manifestations of (allergic) rhinitis
     Cough (check for post-nasal drip)
     Eustachian tube dysfunction
      Secretory otitis media and effusion/ask if otitis media occurs frequently
      Decreased hearing (speech and language delay, child speaks loudly, child increases TV sound)
     Poor school performance/poor concentration
     Consider hearing test/audiometry
     Sleep problems
      Disturbed sleep (ask about fatigue/irritability, poor concentration and school performance)
      Snoring
      Apnoea (check for hypertrophy of adenoids or of tonsils and consider a sleep study)
    Symptoms and signs of rhinosinusitis
     Cough
     Purulent discharge (examine nose in older children)
     Headache
     Facial pain
     Halitosis
     Hyposmia
  • TABLE 2

    Possible pollutants/exposures for discussion with parents and children in the clinic/during a home visit

    Second-hand tobacco smoke
    Traffic density near home/school
    Industries near home/school
    Cooking: use of wood/gas
    Type of heating: any use of biomass
    Pets: dogs/cats
    House dust
    Mould
    Chemicals used at home for cleaning
    Use of incense sticks/candles

Additional Files

  • Tables
  • Disclosures

    No authors of this article declared any conflict of interest. The disclosures below are those of the ERS Task Force on Monitoring Asthma in Children.

    Files in this Data Supplement:

    • E. Baraldi
    • K-H. Carlsen
    • K.C. Lodrup Carlsen
    • I. Pavord
    • G. Piacentini
    • M.W. Pijnenburg
    • D. Price
    • S.J. Szefler
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Monitoring asthma in childhood: management-related issues
Bart L. Rottier, Ernst Eber, Gunilla Hedlin, Steve Turner, Edwina Wooler, Eva Mantzourani, Neeta Kulkarni
European Respiratory Review Jun 2015, 24 (136) 194-203; DOI: 10.1183/16000617.00003814

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Monitoring asthma in childhood: management-related issues
Bart L. Rottier, Ernst Eber, Gunilla Hedlin, Steve Turner, Edwina Wooler, Eva Mantzourani, Neeta Kulkarni
European Respiratory Review Jun 2015, 24 (136) 194-203; DOI: 10.1183/16000617.00003814
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Adherence to treatment
    • Inhaler technique
    • Side-effects of drug treatment
    • Monitoring diseases that may aggravate asthma
    • Environmental factors
    • Socioeconomic circumstances
    • Conclusion
    • Acknowledgements
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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  • Asthma and allergy
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More in this TOC Section

  • Monitoring asthma in children: part II
  • Monitoring asthma in children: part III
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