The study usually determines obstruction of the bronchi with viscous mucus, spasm of the muscles of the bronchi, cellular (often eosinophilic) infiltration of their mucous membrane, emphysematic bloating. Degenerative changes in other organs are noted.
Clinic of bronchial asthma
The history of patients with bronchial asthma often shows a hereditary burden of allergic diseases, exudative-catarrhal diathesis at an early age, allergic reactions to certain types of food, drugs, and preventive vaccinations. Concomitant allergic diseases, frequent acute respiratory viral infections, bronchitis and pneumonia are observed.
The disease proceeds in waves: periods of exacerbation are replaced by periods of remission. In most cases, the seizure is preceded by peculiar precursors – watery whitish discharge from the nose, itchy nose tip (“allergic salute”), sore throat, sneezing, lethargy, behavior change (anxiety, irritability, or, conversely, apathy, indifference to the environment). An attack in children often occurs on the background or after an acute respiratory illness. When an attack occurs, the patient occupies a forced position (sitting with an emphasis on the hands), marked shortness of breath with difficulty exhaling, breathing becomes noisy, wheezing, persistent painful cough occurs (unlike adults, often not at the end, but at the beginning of the attack), cyanosis gradually intensifies lips, nasolabial triangle, face, limbs, whistling, buzzing rales are heard at a distance . Sputum is low, it clears its throat, often patients swallow it, which leads to vomiting with a large