All issues > Volume 33(12); 1990

Original Article

J Korean Pediatr Soc. 1990;33(12):1689-1698. Published online December 31, 1990.

Diagnostic Approach of The Childhood Bronchial Asthma.

Suk Hyun Ha¹, Ji Sun Cho¹, Woon Kee Yoon¹, Ji Sub Oh¹

¹Department of Pediatrics, Wallace Memorial Baptist Hospital, Busan, Korea

Received: June 26, 1990;  Accepted: August 30, 1990.

Abstract

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%.

Keywords :Bronchial Asthma