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Causes

By Mayo Clinic staff

The underlying causes of childhood asthma aren't fully understood. Developing an overly sensitive immune system generally plays a role. Some factors thought to be involved include:

  • Inherited traits
  • Some types of airway infections at a very young age
  • Exposure to environmental factors, such as cigarette smoke or air pollution

Increased immune system sensitivity causes the lungs and airways to easily become swollen and produce mucus when exposed to certain triggers. These triggers vary from child to child and can include:

  • Viral infections such as the common cold
  • Exposure to air pollutants, such as tobacco smoke
  • Allergies to dust mites, pet dander, pollen or mold
  • Physical activity
  • Weather changes or cold air

Sometimes, asthma symptoms occur with no apparent triggers.

References
  1. Robinson PD, et al. Asthma in childhood. Pediatric Clinics of North America. 2009;56:191.
  2. Liu AH. Childhood Asthma. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/10te0024376-12/727446153/1608/440.html#4-u1.0-B978-1-4160-2450-7..50145-6--cesec11_3422. Accessed July 18, 2010.
  3. Stewart LJ. Pediatric asthma. Primary Care Clinics in Office Practice. 2008;35:25.
  4. Expert panel report 3 (EPR-3): Guidelines for the diagnosis and management of asthma. Bethesda, Md.: National Institutes of Health. http://www.nhlbi.nih.gov/guidelines/asthma/06_sec3_comp3.pdf. Accessed July 13, 2010.
  5. Updated information on leukotriene inhibitors: Montelukast (marketed as Singulair), zafirlukast (marketed as Accolate), and zileuton (marketed as Zyflo and Zyflo CR). U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm165489.htm. Accessed July 13, 2010.
  6. FDA drug safety communication: New safety requirements for long-acting inhaled asthma medications called long-acting beta-agonists (LABAs). U.S. Food and Drug Administration.  http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm200776.htm. Accessed March 8, 2010.
  7. Bukutu C, et al. Asthma: A review of complementary and alternative therapies. Pediatrics in Review. 2008;29:e44.
  8. Mark JD. Integrative medicine and asthma. Pediatric Clinics of North America. 2007;54:1007.
  9. Lands LC. Nutrition in pediatric lung disease. Paediatric Respiratory Reviews. 2007;8:305.
DS00849 Sept. 21, 2010

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