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A clinical study of asthma in children.

Fifty children with bronchial asthma were studied. Male female ratio was 2:1 and age of onset was above 2 years in 70%. The disease presented as an acute attack in 74% cases. Commonest precipitating factors were exercise, cold air, cold drinks and rice. Symptoms were more prominent during the night and in winters in 56%. Chest deformity was noted in 24% and eosinophilia in 71%. PEFR was lower than 80% of predicted in 67%, spirometry showed obstructive pattern in all those tested. Disease was mild in 48%, moderate in 40% and severe in 12%. Severity of the disease was statistically unrelated to known risk factors. Expected weight of the patients was significantly affected by the severity of the disease but height remained unaffected (JPMA 38: 14 , 1988).