Department of Pediatrics, Division of Pediatric Pulmonology; Department of Population and Quantitative Health Sciences
Pediatrics | Pulmonology | Respiratory Tract Diseases
Asthma varies considerably across the life course. Childhood asthma is known for its overall high prevalence with a male predominance prior to puberty, common remission, and rare mortality. Adult asthma is known for its female predominance, uncommon remission, and unusual mortality. Both childhood and adult asthma have variable presentations, which are described herein. Childhood asthma severity is associated with duration of asthma symptoms, medication use, lung function, low socioeconomic status, racial/ethnic minorities, and a neutrophilic phenotype. Adult asthma severity is associated with increased IgE, elevated FeNO, eosinophilia, obesity, smoking, and low socioeconomic status. Adult onset disease is associated with more respiratory symptoms and asthma medication use despite higher prebronchodilator FEV1/FVC. There is less quiescent disease in adult onset asthma and it appears to be less stable than childhood-onset disease with more relapses and less remissions.
adult, airway, asthma, childhood, pediatric
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Copyright © 2019 Trivedi and Denton. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
DOI of Published Version
Front Pediatr. 2019 Jun 25;7:256. doi: 10.3389/fped.2019.00256. eCollection 2019. Link to article on publisher's site
Frontiers in pediatrics
Trivedi, Michelle K. and Denton, Eve, "Asthma in Children and Adults-What Are the Differences and What Can They Tell us About Asthma" (2019). Open Access Articles. 3879.
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This work is licensed under a Creative Commons Attribution 4.0 License.