A 55-year-old man with severe persistent asthma poorly responsive to asthma therapy
Autor: | David W. Unkle, Anthony J. Ricketti, Dennis J. Cleri, Peter A. Ricketti, John R. Vernaleo |
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Rok vydání: | 2012 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty medicine.drug_class Severity of Illness Index Anti-asthmatic Agent Diagnosis Differential Bronchodilator Vocal cord dysfunction Humans Immunology and Allergy Medicine Anti-Asthmatic Agents Physical Examination Respiratory Sounds Asthma Bronchiectasis business.industry Rhinitis Allergic Seasonal General Medicine Middle Aged medicine.disease Respiratory Function Tests respiratory tract diseases Radiography Thoracic Allergic bronchopulmonary aspergillosis Tomography X-Ray Computed business Vasculitis Hypersensitivity pneumonitis |
Zdroj: | Allergy and Asthma Proceedings. 33:538-543 |
ISSN: | 1088-5412 |
Popis: | Asthma is often triggered by allergic and nonallergic factors in atopic individuals and readily responds to anti-inflammatory and bronchodilator therapy. The differential diagnosis for poorly responsive disease includes severe persistent asthma with associated allergic rhinitis, cardiac disorders such as left ventricular failure or mitral stenosis, vocal cord dysfunction, gastroesophageal reflux disease, recurrent aspiration, chronic obstructive pulmonary disease, emphysema, alpha-1-antitrypsin deficiency, sarcoidosis, hypersensitivity pneumonitis, bronchiectasis, allergic bronchopulmonary aspergillosis, airway neoplasm, and Churg-Strauss vasculitis. A careful history and physical in conjunction with appropriate screening of laboratory information will usually direct the clinician to the correct diagnosis. |
Databáze: | OpenAIRE |
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