All that wheezes is not asthma

Koul, Parvaiz A; Khan, Umar Hafiz; Shah, Tajamul Hussain; Dar, Abdul Majid

doi:10.1136/bcr-2013-202369

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…A significant proportion of drug particles (medication, carbohydrate, and sugar) would precipitate in the oral cavity leading to higher dental caries in these patients. Another reason is that medication and asthma itself reduces the flow of saliva, changes the composition of saliva, including changes in pH, and possibly increases the frequency of dental plaque accumulation [ 10 11 12 13 ]. Botelho et al .…”

Section: Discussionmentioning

confidence: 99%

Oral health assessment in children aging 8–15 years with bronchial asthma using inhalation medication

Bansal

Reddy

Shrivastava

et al. 2022

Tzu Chi Medical Journal

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Objectives: The aim of the present study was to evaluate and compare oral health status of bronchial asthma patients between the age group of 8–15 years with healthy individuals and examines the relationship between the severity of asthma, dose duration, method of taking medication, and use of AeroChamber on the dental health of children diagnosed with asthma. Materials and Methods: The present cross-sectional study assessed the oral status of asthmatic patients and compared with a control group of 200 nonasthmatic patients. Both groups were matched in relation to age and gender. The oral health was assessed by measuring oral hygiene, caries status, periodontal health, and candidiasis of participants. Oral hygiene was measured by plaque index, caries assessment was done with the decayed missing filled teeth index/decayed extracted filled (DMFT/def index) and the periodontal status was measured with community periodontal index (CPI) adapted from the WHO (1997). Results: Plaque index score among asthmatics group was 1.49 ± 0.65 was significantly higher than healthy group 1.08 ± 0.57. The significant difference was noted in the mean caries (DMFT/def) score for asthmatic patients (2.31 ± 1.65/1.02 ± 0.39) and the controls (1.98 ± 1.54/0.74 ± 0.39). The CPI score was also significantly high in asthmatics (3.19 ± 1.68) in comparison to healthy individuals (2.32 ± 2.07). The candidiasis was absent in healthy individuals while it was present among 28 patients in the asthmatic group. The patients who were taking medication from longer period of time (9–12 months) had significantly worse oral health. The study result did not show any significant difference with the type of inhalation. However it showed significantly improved oral health for patients using AeroChamber in comparison to the patients not using it. Conclusion: Oral health was significantly poor in asthmatic patients in comparison with the healthy individuals. Increased frequency of asthma medication use was associated with increased likelihood of poor oral health. Use of AeroChamber improves the oral health of patients.

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Section: Discussionmentioning

confidence: 99%

Oral health assessment in children aging 8–15 years with bronchial asthma using inhalation medication

Bansal

Reddy

Shrivastava

et al. 2022

Tzu Chi Medical Journal

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“…More accurately, bronchoscopy has secured a limited role in the diagnosis and management of “not asthma.” Few would disregard its role in diagnosing airway abnormalities that cause chronic cough, persistent wheeze, or other respiratory symptoms unresponsive to aggressive asthma therapy (Figure ). Indeed, numerous citations exist demonstrating the utility of bronchoscopy in identifying, and in some cases treating dynamic and fixed airway abnormalities, airway tumors, vascular compression anomalies, foreign bodies, and even leeches in patients mistakenly diagnosed with asthma, thus popularizing the phrase “All that wheezes is not asthma.” Nevertheless, bronchoscopy for true asthma has never fully regained its pre‐1970 status as an important component in asthma diagnosis and management. Bronchoscopy does not have a role in the current consensus statements regarding asthma management, and asthma is not an application put forth by either of the two most recent consensus statements addressing pediatric flexible bronchoscopy …”

Section: Old School Ingenuity: the Earliest Applications Of Bronchoscmentioning

confidence: 99%

Bronchoscopy in severe childhood asthma: Irresponsible or irreplaceable?

Januska

Goldman

Webley

et al. 2019

Pediatric Pulmonology

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For children with severe asthma, guideline‐based management focuses on the escalation of anti‐inflammatory and bronchodilatory medications while addressing comorbid conditions. Bronchoscopy, in this context, has been relegated to ruling out asthma mimickers. More recently, however, there have been questions surrounding the clinical utility of bronchoscopy in severe childhood asthma. In this solicited lecture summary, we discuss the past, present, and potential future applications of bronchoscopy in severe childhood asthma.

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“…In patients who have poorly controlled symptoms despite good adherence and technique, an alternative diagnosis should be ruled out (such as COPD, vocal cord dysfunction, tracheal tumors, and others) as it can mimic asthma. [ 380 381 382 383 384 ] Around 13% of asthma patients attending special clinics might also be suffering from allergic bronchopulmonary aspergillosis. [ 385 ] There is some evidence to suggest that current smoking reduces the effectiveness of inhaled and oral corticosteroids.…”

Section: G Miscellaneous Issues In Asthma Managementmentioning

confidence: 99%