Bronchial responsiveness and lung function in recurrently wheezy infants

S. M. Stick, J. Arnott, D. J. Turner, S. Young, L. I. Landau, P. N. Lesouef

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Abstract

Although most wheezy infants are considered asthmatic, they generally respond poorly to antiasthma treatment, and there is inadequate knowledge about the pathologic mechanisms that cause wheezing at this age. The aim of this study was to determine whether the strong association between wheezing and bronchial responsiveness (BR) seen in older subjects was also present in infants. We compared BR with inhaled histamine in 19 recurrently wheezy infants with a group of age-, height-, weight-, and sex-matched control infants. Maximal flow at FRC (VμaxFRC) was determined from partial expiratory flow-volume curves generated using the 'squeeze' technique. Histamine was delivered during 1 min of tidal breathing in doubling concentrations from 0.125 g/L to a maximum of 8 g/L or until VμaxFRC fell by 40% (PC40). The median baseline VμaxFRC for the wheezy infants was 100.0 ml/s compared with 182.0 ml/s for the control infants (p < 0.01). However, there was no significant difference in the PC40 between the two groups (2.1 versus 2.3 g/L).

Original languageEnglish
Pages (from-to)1012-1015
Number of pages4
JournalAmerican Review of Respiratory Disease
Volume144
Issue number5
DOIs
Publication statusPublished - 1991

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