Predicting exacerbations in severe preschool wheezers

Pediatr Pulmonol. 2025 Mar;60 Suppl 1(Suppl 1):S77-S79. doi: 10.1002/ppul.27338. Epub 2024 Oct 25.

Abstract

Simple clinical indices, complex composite phenotyping/endotyping and telehome monitoring now allow us to evaluate the risk of preschool wheezing on a population or individual level. We herein discuss the usefulness of clinical markers which involve underlying issues such as in utero smoke exposure, the pathophysiology of viral-immunological-allergic interactions, and changes in airway epithelium, mesenchyme and smooth muscle cells. The most important unmet need in this age group remains disease-modifying interventions.

Keywords: child; exacerbations; preschool; wheezing.

Publication types

  • Review

MeSH terms

  • Asthma* / diagnosis
  • Asthma* / physiopathology
  • Biomarkers
  • Child, Preschool
  • Disease Progression
  • Female
  • Humans
  • Respiratory Sounds* / etiology
  • Respiratory Sounds* / physiopathology
  • Severity of Illness Index

Substances

  • Biomarkers

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