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Definitions often OSI-906 price include more details, such as specific cell types (e.g. mast cells, eosinophils, etc.), timing of symptoms (particularly at night or early morning), reversibility (often), or triggers (viral infection, exercise, and allergen exposure). The relative importance of each of these additional elements can be argued; nevertheless, they are neither necessary for nor exclusive to asthma and therefore do not add appreciably to the sensitivity or specificity of the previously mentioned, generally accepted elements. Taking the above into account, a working definition, representing a synopsis from all guidelines, is shown in Box?1 Box 1 Asthma is a chronic inflammatory disorder associated with variable airflow obstruction and bronchial hyperresponsiveness. It presents with recurrent episodes of wheeze, cough, shortness of breath, and chest tightness. To address diversity and guide management, several factors have been used to classify pediatric asthma (Fig.?1). Age is an important classification factor, relevant to diagnosis and treatment. There is general flupentixol consensus that milestone ages are around 5 and 12?years, and important clinical and epidemiological characteristics appear to change around those ages. In some documents, ��infantile�� asthma (Lapatinib order classes are proposed by the AAMH. With respect to severity, persistent asthma is usually classified as mild, moderate, and severe. However, in PRACTALL and SIGN, only severe asthma is mentioned, while in the JGCA, a ��most severe�� class is proposed. Classifications of severity/persistence are challenging as they require differentiation between the inherent severity of the disease, resistance to treatment, and other factors, such as adherence to treatment. Hence, these classifications are currently recommended only for initial assessment of the disease severity and are being replaced by the concept of ��control��, which is more clinically useful. Control is generally accepted as a dynamic classification factor, critical to guiding treatment. Control categories are quite relevant in clinical practice. Slightly different terms are used for the levels of asthma control, which are generally three (controlled, partly controlled, and uncontrolled). In some cases, ��complete�� control is described, as a state with no disease activity (Table?1). In assessing severity and control, a distinction between current impairment and future risk is proposed by NAEPP and GINA.