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Volume 5, Issue 1 (8-2019)
IJCA 2019, 5(1): 0-0 |
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Bahrami A, Haghighi Aski B, Manifi Anari A, Zohrevandi Z, torabi S. A Case of Near-Fatal Asthma Exacerbation. IJCA 2019; 5 (1)
URL: http://ijca.iums.ac.ir/article-1-169-en.html
URL: http://ijca.iums.ac.ir/article-1-169-en.html
Abstract: (941 Views)
A 7.5-year-old male with mild intermittent asthma presented with a complaint of sudden shortness of breath and subsequently cyanosis that led to respiratory arrest.
Although Asthma is the most prevalent chronic respiratory disease globally, it is affecting children through all ages (1). This condition is described as a chronic inflammatory airway disease. However, there are several phenotypes of this chronic inflammatory that are seen among the pediatric population (2).
According to guidelines, asthma has four levels of mild intermittent, mild persistent , moderate persistent , severe persistent that the classification of which are based on the severity of symptoms, spirometry parameters including forced expiratory volume in one second (FEV1) and peak expiratory flow(PEF)(3).
At each level the patients can experience the acute asthma exacerbation which is defined as the respiratory distress that does not respond to outpatients’ treatments either with or without history of corticosteroid therapy. Each episode of this condition can cause the respiratory failure. Therefore, acute asthma is defined as a medical emergency in pediatric population which is leading to nearly half of millions of pediatric intensive care unit (PICU) hospitalizations annually (4-6)
In this study, we reported a case of mild intermittent asthma with rapid decompensation to respiratory arrest.
Although Asthma is the most prevalent chronic respiratory disease globally, it is affecting children through all ages (1). This condition is described as a chronic inflammatory airway disease. However, there are several phenotypes of this chronic inflammatory that are seen among the pediatric population (2).
According to guidelines, asthma has four levels of mild intermittent, mild persistent , moderate persistent , severe persistent that the classification of which are based on the severity of symptoms, spirometry parameters including forced expiratory volume in one second (FEV1) and peak expiratory flow(PEF)(3).
At each level the patients can experience the acute asthma exacerbation which is defined as the respiratory distress that does not respond to outpatients’ treatments either with or without history of corticosteroid therapy. Each episode of this condition can cause the respiratory failure. Therefore, acute asthma is defined as a medical emergency in pediatric population which is leading to nearly half of millions of pediatric intensive care unit (PICU) hospitalizations annually (4-6)
In this study, we reported a case of mild intermittent asthma with rapid decompensation to respiratory arrest.
Keywords: Near fatal asthma, Rescue therapy
Type of Study: case report |
Subject:
Pulmonology
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