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Asthma

:: Jun-Jul 2008


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Clinical Guidelines

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Related Topics - Highlighted Articles

Rhinitis

Burden of rhinitis in children with asthma. (Pediatr Pulmonol. 2005) "Although the clinical association of allergic rhinitis and asthma has been recognized for centuries, in recent years the association appears to be stronger than was reported previously. Ä 41.2% and 58.8% reported that their rhinitis symptoms caused a significant burden in their daily life and exacerbated their asthma, respectively, and almost 50% felt that their rhinitis had not been given significant consideration by their physician."


Sinusitis and Rhinosinusitis

Current thinking on the relationship between rhinosinusitis and asthma. (J Asthma. 2005) "Most recent evidence supports the characterization of rhinosinusitis and asthma as two compartmental expressions of a common mucosal susceptibility to exogenous stimuli. In addition, there is evidence that the compartmental processes can affect and amplify each other via a systemic intermediary. The bone marrow is involved in this process, and IL-5 may be a key cytokine for orchestrating the systemic interaction. These facts argue that rhinosinusitis and asthma are not simply localized disease processes but part of a systemic inflammatory disease affecting the respiratory tract."

 

Diagnosis, Imaging, and Screening

 

General Information

House dust mite control measures for asthma (Cochrane Database of Systematic Reviews 2008 Issue 2 2008) “Chemical and physical methods aimed at reducing exposure to house dust mite allergens cannot be recommended. It is doubtful whether further studies, similar to the ones in our review, are worthwhile. If other types of studies are considered, they should be methodologically rigorous and use other methods than those used so far, with careful monitoring of mite exposure and relevant clinical outcomes.”

 

Risk Factors

Exposure to furry pets and the risk of asthma and allergic rhinitis: a meta-analysis. (Allergy. 2008) “CONCLUSIONS: Exposure to cats exerts a slight preventive effect on asthma, an effect that is more pronounced in cohort studies. On the contrary, exposure to dogs increases slightly the risk of asthma. Exposure to furry pets of undermined type is not conclusive.”

Link Found Between Asthma and GERD

Wheezing Rhinovirus Illnesses in Early Life Predict Asthma Development in High Risk Children. (Am J Respir Crit Care Med. 2008) “CONCLUSIONS: Among outpatient viral wheezing illnesses in infancy and early childhood, those caused by RV infections are the most significant predictors of the subsequent development of asthma at age six years in a high-risk birth cohort.”

 

Risk Reduction

 

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