No. 1)  Peanut allergy and also sensitivity to aspirin and  non-steroidal anti-inflammatory agents (NSAID’s) are two of the most explosive allergic reactions that may attack a  patient, including sudden, severe and often fail asthmatic attacks.  Allergies can kill.  Be aware.  Be prepared.

No. 2)  Bronchilolitis, a common precursor of childhood and adult bronchial asthma, has been increasing in frequency.  It is often caused by infection with respiratory syncytial  virus (RSV).  A vaccine is under development.  Meanwhile, be aware of the difference between a common cold and a serious asthmatic bronchitis or bronchiolitis  in your infant.  Persistent hacking  or congested cough, with or more often without wheezing,  is a sign.   Keep your pediatrician aware of the baby’s condition.

No. 3)  The leucotriene inhibitors and leucotriene receptor blockers have been found to be useful additions to the treatment of bronchial asthma in children and adults.  Of the three main products available, Singulair appears to be the most  “user friendly”.

No.4)  The  debate regarding potential side effects of inhaled corticosteroid agents continues, especially as relates to children.  Most reports are favorable with regard to both  effects  and side effects.  They should definitely be a part of the treatment of patients with daily or nearly daily wheezing.

No 5)  Occupational asthma has many possible causes.  Please see the attached  table taken from the American Review of Respiratory Diseases.

GS