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***budesonida inhalada en dosis de 800 g/da por seis o ms meses, se asoci con alteracin de la

respuesta del eje hipotlamo-hipfisis-suprarrenal a la estimulacin con ACTH en 3 de 20 nios asmticos


severos.

Consider asthma if any of the following signs or symptoms are present:


Frequent episodes of wheezingmore than once a month.

Activity-induced cough or wheeze.


Cough particularly at night during periods without viral infections.
Absence of seasonal variation in wheeze.
Symptoms that persist after age 3.
Symptoms occur or worsen in the presence of:
Aeroallergens (house dust mites, companion animals, cockroach, fungi)
Exercise
Pollen
Respiratory (viral) infections
Strong emotional expression
Tobacco smoke The childs colds repeatedly go to the chest or take more than 10 days to clear up.

Symptoms improve when asthma medication is given.

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