Features of the course of bronchial asthma in children with a history of bronchopulmonary dysplasia
https://doi.org/10.21508/1027-4065-2020-65-4-101-107
Abstract
Introduction. The development of bronchial asthma in children is often associated with previous bronchopulmonary dysplasia.
Objective. To study the features of the clinical course of bronchial asthma in children with a history of bronchopulmonary dysplasia.
Children characteristics and research methods. The test group consisted of 77 patients with a history of bronchial asthma and bronchopulmonary dysplasia. The control group included 81 patients with bronchial asthma without bronchopulmonary dysplasia. The patients were diagnosed in accordance with the Classification of clinical forms of bronchopulmonary diseases in children. The level of immunoglobulins was determined by enzyme immunoassay.
Results. The patients with bronchial asthma and bronchopulmonary dysplasia demonstrated an earlier manifestation of bronchial asthma, a mild course and a rare need for inhaled bronchodilators, significant disproportions in changing the level and frequency of allergic inflammation markers — frequent eosinophilia with a lower increase in total IgE. The developed stage-by-stage program of examination and management of children with bronchial asthma and bronchopulmonary dysplasia will improve the diagnosis and treatment of patients with these diseases.
Conclusion. The pediatricians shall take into account the identified clinical features of bronchial asthma in children with a history of bronchopulmonary dysplasia in their practice.
About the Authors
D. Yu. Ovsyannikov
Peoples Friendship University
Russian Federation
Moscow
Russian Federation
Moscow
N. M. Agarkov
South-West State University
Russian Federation
Kursk
Russian Federation
Kursk
A. A. Modestov
National Medical Research Center for Children's Health
Russian Federation
Moscow
Russian Federation
Moscow
L. P. Chicherin
Semashko National Research Institute of Public Health
Russian Federation
Moscow
Russian Federation
Moscow
D. A. Kravchuk
Peoples Friendship University
Russian Federation
Moscow
Russian Federation
Moscow
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Review
For citations:
Ovsyannikov D.Yu., Agarkov N.M., Modestov A.A., Chicherin L.P., Kravchuk D.A. Features of the course of bronchial asthma in children with a history of bronchopulmonary dysplasia. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2020;65(4):101-107. (In Russ.) https://doi.org/10.21508/1027-4065-2020-65-4-101-107
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