Logical Approach to a Patient Presenting with Recurrent Wheezing

Abstract Recurrent wheezing is one of the most common respiratory problems of childhood. One third of the children has a wheezing atack in the first three years of life. Recurrent wheezing is usually related with recurrent upper respiratory tract infections in children. Wheezing has phenotypes which occures with different phatophysiologic mechanisms. These phenotypes can have different outcomes and triggers. As a result wheezing is a heterogen situation, in this age group. Wheezing doesn’t predict asthma everytime, it can be seen with a lot of respiratory problems. Making differential diagnosis for patients with recurrent wheezing and defining asthma risk factors is important for predicting the prognosis. In this article a case with recurrent wheezing, differential diagnosis in wheezy infant, risk factors for asthma development, prognosis and treatment will be reviewed