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¿Cómo evaluar el riesgo de asma bronquial en lactantes y preescolares?
Assessing the Risk of Asthma in Infants and Pre-School Children
José A. Castro-Rodríguez
Corresponding author
jacastro17@hotmail.com

Correspondencia: Dr. J.A. Castro-Rodríguez. Avda. San Carlos de Apoquindo 856. Las Condes. Santiago de Chile. Chile.
Departamento de Medicina Respiratoria Infantil. Universidad de Santiago de Chile. Santiago de Chile. Chile
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El asma infantil es una enfermedad inflamatoria heterog&#233;nea con diferentes fenotipos &#40;con sibilancias transitorias&#44; no at&#243;picos&#44; at&#243;picos y obesos&#41; y diferente expresi&#243;n cl&#237;nica y multifactorial&#44; pero que siguen una v&#237;a com&#250;n&#44; caracterizada por cuadros recurrentes de obstrucci&#243;n de la v&#237;a a&#233;rea&#46; Se ha demostrado que la inmensa mayor&#237;a de asm&#225;ticos comienza su enfermedad en los primeros a&#241;os de vida&#44; que la inflamaci&#243;n y la remodelaci&#243;n de la v&#237;a a&#233;rea est&#225;n ya presentes en escolares asm&#225;ticos e incluso que hay inflamaci&#243;n en lactantes con sibilancias persistentes&#46; El problema consiste en identificar tempranamente qu&#233; lactante con sibilancias recurrentes tiene riesgo de presentar posteriormente asma persistente&#46; Se postula el uso del Algoritmo Predictor de Asma &#40;Asthma Predictive Index&#41;&#44; que es una herramienta simple&#44; validada en estudios longitudinales y que nos permite identificar tempranamente ese fenotipo de lactantes sibilantes &#40;cuya funci&#243;n pulmonar presenta su principal deterioro irreversible en los primeros a&#241;os de vida&#41; con riesgo de desarrollar asma&#46;</p>"
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ISSN: 03002896
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