Table 4—

Clinical meaning of the results of investigations performed in young children with severe, recurrent wheeze

Diagnostic categoryNumber of patientsAge monthsNumber with UAA
1. Asthma (presence of EB or BAL eosinophilia and/or thickened RBM)19/47 (41) (11/19 also had GOR, defined as an abnormal pH study and BAL fat-laden macrophages)28 (7–58)4/19 (21)
2. Predominantly GOR (abnormal pH study and BAL fat-laden macrophages and normal biopsy)11/47 (23) (those with GOR in category 1 not included)28 (5–46)3/11 (27)
3. Predominantly infection (significant bacterial growth and neutrophilia in BAL)6/47 (13) (a total of 12 patients had evidence of infection, but six of these also had GOR, and are in category 2).9.5 (8–13)#3/6 (50)
4. No definite diagnosis11/47 (23)28 (6–57)3/11 (27)
  • Data are presented as median (range) or n/n (%). UAA: structural upper airway abnormality on bronchoscopy; EB: endobronchial biopsy; BAL: bronchoalveolar lavage; RBM: reticular basement membrane; GOR: gastro-oesophageal reflux. #: Significantly younger than all the other groups (p<0.05).