The authors describe the case of a 2-year-old girl with severe persistent asthma whose disease management was complicated by this rare clinical diagnosis.
This distribution of an inflammatory disorder in a very young child almost always indicates atopic dermatitis. The family history of asthma suggests the atopic diathesis.
Regular spirometry to monitor lung function ensures successful asthma management—even in children. Here, a refresher for pediatricians on how to evaluate flow-volume curves.
Here to discuss her observations about controller medication use and sleep problems in children with asthma is Michelle Garrison, MD.
Children with asthma living in single-parent homes were found 50% more likely to return to the hospital within 12 months than children living with 2 parents. What's the real underlying cause?
Hoarseness developed in a 27-month-old girl who was previously treated in the ED for a presumed asthma exacerbation and bronchiolitis.
A 6-month-old boy with 1-week history of dry cough that worsened at night. He had been wheezing off and on for the past month and had visited the emergency department on one occasion.
In this podcast, Dr John Kelso dispels myths and makes a case for office-based spirometry for pediatricians.
How will you address this question when your patients ask? Find out in this podcast.
The American Academy of
Child and Adolescent Psychiatry recommends
routine screening for anxiety in
childhood, querying various sources (child,
parent, teacher) about anxiety symptoms,
assessing for comorbid disorders,
and evaluating severity and functional
impairment. Transient and developmentally
appropriate worries and fears need to
be distinguished from anxiety disorders.
Somatic symptoms, such as headache or
stomachache, often accompany anxiety.
A child’s anxiety may manifest as crying,
irritability, or other behaviors that may
be misunderstood by adults as disobedience.
Self-report measures can help
screen for anxiety symptoms and monitor
treatment response. Psychotherapy is
the initial treatment of children with
anxiety. Pharmacotherapy with selective
serotonin reuptake inhibitors may be
necessary for those with moderate to
severe anxiety. In these children, the
addition of cognitive-behavioral therapy
may improve functioning better than
either intervention alone.