Medicine
Volume 36, Issue 4 , Pages 191-195, April 2008

The preschool wheezer

David Cremonesini BA MRCPH is a Specialist Registrar in Paediatric Respiratory Medicine and is working at the Oxford Children's Hospital, Oxford, UK. Competing interests: none declared

Anne Thomson MD FRCP FRCPH is a Consultant in Paediatric Respiratory Medicine at the Oxford Children's Hospital, Oxford, UK. She has research interests in respiratory infection and cystic fibrosis. Competing interests: none declared

Abstract 

Wheeze is one of the most common reasons for seeking medical attention for young children. The management of preschool wheeze presents physicians with challenging problems. This article addresses the different patterns of preschool wheeze and explains how one might differentiate between them. It looks at the risk factors and important preventative measures that can be taken. Current therapies are reviewed and the paucity of evidence supporting common use is highlighted. Fortunately, the majority of preschool wheezers will grow out of their symptoms.

Keywords: atopic, bronchodilator, montelukast, phenotype, preschool, prevention, steroid, transient, wheeze

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PII: S1357-3039(08)00018-2

doi:10.1016/j.mpmed.2008.01.005

Medicine
Volume 36, Issue 4 , Pages 191-195, April 2008

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