Table 2.
Wheezing phenotypes and associated clinical characteristics.
| Transient wheeze | Episodic wheeze | Wheeze (Asthma*) |
||||||
| Persistent | Late onset | |||||||
| Age | ||||||||
| Onset | <1 year | >18 months | <1–3 years | >3 years | ||||
| Remission | <4 years | <13 years | >6 years | >6 years | ||||
| Risk factors | Maternal smoking | ? β2ADR genotype | Atopy | Atopy | ||||
| β2ADR genotype | Family history | Family history | ||||||
| Factors related to viral wheeze | Mechanical (airway size or tone) | Airway tone/dysfunction | Airway/tone dysfunction | Impaired type 1 response | ||||
| Impaired type 1 response | ||||||||
| Early airway inflammation | Airway inflammation | |||||||
| BR | ||||||||
| Birth | Increased | Normal | Normal | Normal | ||||
| Childhood | Increased | Normal | Increased | Increased | ||||
| Lung function | ||||||||
| Birth | Decreased | Normal | Normal | Normal | ||||
| Childhood | Decreased | Normal | Decreased | Decreased | ||||
| Response to Rx | ||||||||
| Bronchodilators | No | Yes | Yes | Yes | ||||
| Inhaled CS | No | No | Yes | Yes | ||||
| Symptom pattern | Episodic | Episodic | Intermittent or continuous | Intermittent or continuous | ||||
| Triggers | Viruses | ? Only | Viruses | Multiple | ||||
| virus infections | Multiple | +/− viruses | ||||||
BR, bronchial responsiveness; β2ADR, beta-2 adrenergic; CS, corticosteroid.
Associated with a family history of asthma and allergy.