Practical Points
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Asthma is the most frequent chronic inflammatory lung disease of childhood
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Exacerbations should be treated with short acting beta-2 agonist and systemic steroids
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Long-term control should be based on the symptoms prior to the crisis
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When the patient first presents with acute exacerbation with no history of disease severity prior to the attack, treatment should at least start on level 3 (Tebo et al., Pediatr Rheumatol Online J 10:29, 2012; Adkinson and Middleton, Middleton’s allergy: principles and practice, 2013; Castro-Rodriguez et al., Am J Respir Crit Care Med 162(4 Pt 1):1403–6, 2006; Larenas-Linnemann et al., Rev Alerg Mex. 64(Suppl 1):s11-s128, 2017).
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Sienra-Monge, J.J.L., Del-Rio-Chivardi, J.M., Navarrete-Rodríguez, E.M. (2019). Chronic Cough and Acute Wheezing. In: Rezaei, N. (eds) Pediatric Allergy. Springer, Cham. https://doi.org/10.1007/978-3-030-18282-3_38
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