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Pediatr Pulmonol. 2012; 47:658�C665. ? 2011 Wiley Periodicals, Inc. ""To determine if nitrites (nitric oxide metabolites) measured in induced sputum decrease and correlate with improvement of clinical asthma symptoms after treatment, we performed a prospective longitudinal study in a tertiary care hospital in Arequipa, Peru. In 95 schoolchildren with mild and moderate persistent asthma we determined nitrites in induced sputum samples (measured using the Griess assay). Clinical parameters and exercise bronchial challenge (EBC) test were performed twice, at baseline and after 3 months of beclomethasone-dipropionate treatment (median doses: 300?mcg/day, IQR: 300�C450). Sixty out of 95 children completed the study (median Ibrutinib age of 9-year [IQR: 7�C13]). A significant change in sputum nitrites levels between admission and the end of the study was observed (34.4?nmol/ml [IQR:18.2�C58.4] and 11.2?nmol/ml [6�C20.1], respectively, P?=?TRIB1 Also a significant correlation between decrease of sputum nitrites levels and improvement of clinical parameters (acute exacerbations [r?=?0.361, P?=?0.005]; use of salbutamol [r?=?0.322, P?=?0.013]; emergency visits [r?=?0.275, P?=?0.033]; and school absence [r?=?0.41, P?=?0.001]) from admission to the end of the study was found. However, sputum nitrites levels did not correlated with peripherical blood eosinophils or serum IgE levels or with EBC test at any point of the study. The decrease of sputum nitrites MK-2206 manufacturer levels after the treatment was significant in each asthma group (mild and moderate), but not between groups. This study showed that measured nitrite in induced sputum (a simple and cheap non-invasive method) is a good alternative for monitoring asthmatic treatment in schoolchildren. Pediatr Pulmonol. 2014; 49:214�C220. ? 2013 Wiley Periodicals, Inc. ""Although inhaled corticosteroids (ICS) are considered first line controller therapy in children with persistent asthma, heterogeneity of the ICS response can be an important clinical problem. The purpose of this study is to determine the value of the bronchodilator response (BDR) in identifying the ICS responder and establish the optimal BDR cut-point that could be particularly useful in the clinic setting when baseline spirometry is normal. Mexican American asthmatic children, 5�C18 years, with normal baseline spirometry who required low dose (step 2), or medium dose (step 3) ICS therapy were evaluated by skin prick test for atopy, and pre- and post-bronchodilator spirometry. ICS responders were defined by a ��7.5% improvement in the FEV1 following 4�C6 weeks of therapy. The optimal cut-point was determined by Receiver Operator Characteristic (ROC) curves as the best balance between sensitivity and specificity. There were 34.8% of the 132 study patients who were ICS responders.

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