Published Paper Details:

Background: The prevalence of the asthma in childhood is very much in Indian population and is second common cause of chronic illness associated with high morbidity. Word Asthma was used first time in Homer�s lliad with meaning of short drawn breath but this medical term is first found in corpus Hippocraticum. The Disease Asthma is a chronic inflammatory condition of small airways resulting in episodic airflow limitation. Status asthamaticus is very dreadful condition causing extreme airflow limitation. Aim and objectives: In this study we aimed to study the factors associated with bronchial asthma from history recovered regarding various factors in OPD patients who presented with symptoms. Methods: Children aged between 0 to 14 years presenting to pediatric OPD with the symptoms who has been previously treated for asthma or who have more than three episodes of airflow limitation/wheeze were studied. The study was conducted over 2 years from May 2018 to May 2020. Results: In our study 80 patients were included from age between 0-14 years and were studied for different variables. In our study 58.7% cases were males and 47.3% were females. Maximum cases (53.7%) were between 5-9 years old followed by 25% in age group 0-4 years and then 21.3% cases in age group 11-14 years. 77.5% cases reported audible wheeze, 88.75% cases reported subcostal indrawing and silent chest and cyanosis was reported in 10% and 2.5% cases respectively. Altered sensorium was present in 5% cases. Cough was the prominent complaint for presenting in OPD in 90% cases, followed by breathlessness in 80% cases, fever (41%), and Nocturnal Cough in 58.7% cases. Feeding difficulty was present in 17.5%. In our study 33.7% were low birth weight babies at birth and 66.25% were appropriate for their gestational age. H/o atopy was present in 46.25% cases in the study and history of allergy from dust mite was reported by 66.25% cases. About 29% sibling had similar history of asthma/wheeze. Seasonal variations were seen in 85% cases and about 31% cases reported exacerbations which required Hospitalisation. Conclusion: In our study of clinical profile of asthma, 47(58.7%) out of 80 asthmatic patients were male showing male predominance of asthma. In our study most common age group of presentation of asthma was between 5 to 9 years in 53.7% cases. Most common risk factor for asthma was found to be allergy from dust mite and 90% cases presented with cough and 80% cases of asthmatic patients were presented with breathlessness as most common symptoms.