PEDIATRICS Vol. 40 No. 4 October 1967, pp. 693-694
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Bronchiolitis and Asthma

LEON HOROWITZ M.D.1

1 Utica Square Medical Center, Tulsa, Oklahoma 74114

Dr. Holdaway and his associates would make it appear that bronchiolitis is a clearly defined entity in which, although it may be simulated by asthma (and other diseases), "attention to the details of the case history and clinical findings will usually exclude these conditions." I wish it were that simple.

I find the differential diagnosis of the wheezing infant "most difficult" as do others, particularly with reference to asthma. The fact that the wheezing does not respond to sympathomimetics does not prejudice in favor of bronchiolitis since it is well-known that the presence of dehydration or infection with asthma will make these drugs relatively ineffective.