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Intermediate Technical IVT

reactive airway disease

Non-specific term describing reversible airway obstruction in children too young for definitive asthma diagnosis.

Full Definition

Reactive airway disease (RAD) is a descriptive term used to characterize reversible airway obstruction and bronchial hyperresponsiveness in young children, typically under three years of age, where a definitive diagnosis of asthma cannot yet be established. The term encompasses various presentations of wheezing, cough, and respiratory distress that respond to bronchodilator therapy. RAD may be triggered by viral infections, allergen exposure, or other irritants. While some children with RAD will eventually develop asthma, others may outgrow the condition as their airways mature. The diagnosis serves as a bridge term until clearer diagnostic criteria can be applied with age and clinical observation.

Usage

Usage note: Transitional diagnosis often replaced by asthma diagnosis as child ages and clinical pattern becomes clearer.

In Context

  • "The eighteen-month-old was diagnosed with reactive airway disease following recurrent episodes of wheeze responsive to albuterol." — Primary care documentation
  • "Follow-up care for reactive airway disease included trigger avoidance and rescue bronchodilator therapy as needed." — Discharge planning instructions

Also known as

RAD wheezing infant syndrome early childhood wheezing

Contrasted with

normal airway reactivity non-reactive airways

Don't confuse with

asthma bronchiolitis viral-induced wheeze

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