Box 1.
Classification of asthma phenotypes in children [4]
Symptom based | |
• Age at onset | |
• Natural history | |
• Severity | |
Trigger based | |
• Allergic vs. non-allergic | |
• Exercise induced | |
• Viral triggered vs. multi triggered. | |
Response to treatment | |
• Corticosteroid responsive | |
Inflammatory features (based on biopsy, induced sputum and bronchoalveolar lavage) | |
• Eosinophilic | |
• Neutrophilic | |
Non-invasive markers | |
• Exhaled nitric oxide | |
• Exhaled breath condensate | |
Pulmonary function tests | |
• Fixed vs. bronchodilator-reversible airway obstruction | |
• Bronchial responsiveness to exercise, cold air, chemical challenge. |