* * There are important pitfalls in the diagnosis of asthma. For example, wheezing with upper respiratory infections (URIs) is very common in small children but not all of these children will develop asthma. On the other hand, asthma is commonly under-diagnosed in children and asthma medication may benefit small children who wheeze with URIs, whether they eventually develop asthma. Related observations are that wheezing does not always mean asthma and many patients with asthma do not wheeze. * * The clinical presentation of asthma may be subtle. Recurrent cough or nocturnal awakening because o
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