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The NIH has released the third version of the Guidelines for the Diagnosis and Management of Asthma. The 416-page report is well organized and includes important new sections on the management of asthma in children from birth through age 4 and from age 5 through 11 years, boxes delineating the key differences from the 1997 and 2002 reports, and evidence ratings for many recommendations. The amount of material is overwhelming, however, making it difficult to decide what information to highlight. The following list represents topics that I believe are critically important, provide new information, or are controversial.
The differential diagnosis of asthma in infants and children includes allergic rhinitis and sinusitis, as well as vocal cord d…