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Tập 17 Số 6 (2024)
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DIAGNOSIS OF ASTHMA IN INFANTS

Tran Minh Dien1,2, Tran Van Ngoc, Nguyen Thanh Hung, Tran Anh Tuan, Nguyen Tien Dung, Le Thi Minh Huong, Nguyen Thi Dieu Thuy, Bui Binh Bao Son, Phan Huu Nguyet Diem, Pham Van Quang, Le Thi Hong Hanh, Phung Nguyen The Nguyen, Pham Thi Minh Hong, Nguyen Thanh Nam, Nguyen Minh Tien, Tran Quynh Huong, Nguyen Thuy Van Thao, Ho Thien Huong
1 Vietnam National Children’s Hospital
2 Vietnam Pediatric Association

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Tóm tắt

I. INFANTILE ASTHMA - DIFFICULTIES AND INADEQUACIES IN DIAGNOSIS
The concept of asthma in infants (children under 24 months of age) began to appear in the late 1970s and early 1980s. However, there is currently no worldwide consensus on the definition and diagnostic criteria for asthma in infants.


In fact, the diagnosis of asthma in infants has some major difficulties as follows:


- Spirometry and other alternative respiratory function tests cannot be performed or are not specific enough for diagnosing asthma in infants.
- There are no specific inflammatory markers for asthma in this age group.
- Many children under 2 years of age only wheeze transiently, especially when infected with respiratory viruses, and about 60% are asymptomatic by the age of 6 years.


Due to the above difficulties and the lack of a “gold standard” for diagnosing asthma in this age group, the European Respiratory Society (ERS) has so far recommended avoiding the diagnosis of “asthma” in children under 6 years of age (but only using the term “wheezing”).


However, most treatment guidelines in the world believe that there is no lower age limit for diagnosing asthma, even in children under 2-3 years of age (“infants”).

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Tài liệu tham khảo

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