AI Article Synopsis
- The study investigates the use of inhaled corticosteroids (ICS) in children with bronchiectasis, a lung condition that may overlap with asthma symptoms.
- Out of 65 children aged 1.5-16, around one-third experienced wheezing or dyspnea, with significant correlations found between asthma-like symptoms and ICS prescription.
- The findings suggest that clinicians may choose to prescribe ICS based on specific symptoms, even when asthma is hard to definitively diagnose in bronchiectasis patients.
Article Abstract
Bronchiectasis and asthma may share some characteristics and some patients may have both conditions. The present study aimed to examine the rationale of prophylactic inhaled corticosteroids (ICS) prescription in children with bronchiectasis. Data of children with radiologically established bronchiectasis were retrospectively reviewed. Episodes of dyspnea and wheezing, spirometric indices, total serum IgE, blood eosinophil counts, sensitization to aeroallergens, and air-trapping on expiratory CT scans, were recorded. The study included 65 children 1.5-16 years old, with non-CF bronchiectasis. Episodes of dyspnea or wheezing were reported by 22 (33.8%) and 23 (35.4%), respectively. Skin prick tests to aeroallergens (SPTs) were positive in 15 (23.0%) patients. Mosaic pattern on CT scans was observed in 37 (56.9%) patients. Dyspnea, presence of mosaic pattern, positive reversibility test, and positive SPTs were significantly correlated with the prescription of ICS. The prescription of ICS in children with bronchiectasis is more likely when there are certain asthma-like characteristics. The difficulty to set the diagnosis of real asthma in cases of bronchiectasis may justify the decision of clinicians to start an empirical trial with ICS in certain cases.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764222 | PMC |
| http://dx.doi.org/10.3390/jcm9124009 | DOI Listing |
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