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Diagnostic Approach of The Childhood Bronchial Asthma.

Journal of the Korean Pediatric Society 1990;33(12):1689-1698.
Published online December 31, 1990.
Diagnostic Approach of The Childhood Bronchial Asthma.
Suk Hyun Ha, Ji Sun Cho, Woon Kee Yoon, Ji Sub Oh
Department of Pediatrics, Wallace Memorial Baptist Hospital, Busan, Korea
소아 기관지천식의 진단적 의의*
하숙현, 조지선, 윤운기, 오지섭
부산 왈레스기념 침례회병원 소아과
Received: 26 June 1990   • Accepted: 30 August 1990
Clinical and environmental studies were made on 150 cases of bronchial asthma patients who were admitted to the Wallace Memorial Baptist Hospital from January, 1987, to December, 1988. Results were as folios: 1) The age distribution showed 64.7% under 6 years old; male to female ratio was 2.4:1. 2) The peak age of onset was below 6 years of age, 80.7% of total cases being included. 3) Bronchial asthma occured most common in the fall (43.3%), especially in September (24%). 4) 29.3% of asthmatic children reported a family Hx. of allergy. 46% of asthmatic children had a past Hx.: 14% in bronchiolitis 9.3% in allergic rhinitis, 8% in atopic dermatitis, 4.3% in urticaria and two diseases appeared simultaneously in 10%. 5) Eosinophillia was noted in 36.7% and total IgE level above mean±2SD at different age was noted in 66.9%. 6) Positive reaction with scratch skin test was 87.2%. Allergen with highest positive reaction were Dust and Mites (77.7%). 7) RAST was checked in 67 cases, positive reaction was 61.2% in House dust, 65.7% in D.P, 64.2% in D.F, 22.4% in Cat fur,, 6% in Cockroach. 8) The aggreement rate between RAST and allergy skin test were Dust in 71.6% D.P in 82.1%, D. fin 79.1%.
Key Words: Bronchial Asthma

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