Asma alérgica

  1. Armentia Medina, A. 1
  2. Martín Armentia, S. 2
  3. Fernández Cortés, S. 3
  1. 1 Unidades de Alergia, Hospital Universitario Río Hortega, Valladolid, España
  2. 2 Pediatría, Centro Delicias, Valladolid, España
  3. 3 Unidades de Asma Difícil, Hospital Universitario Río Hortega,Valladolid, España
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Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2021

Issue Title: Enfermedades del sistema inmune (I)Enfermedades alérgicas

Series: 13

Issue: 28

Pages: 1547-1554

Type: Article

DOI: 10.1016/J.MED.2021.03.009 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Asthma is a prevalent disease affecting both children and adults, its incidence is increasing, appearing, in most cases, before 5-6 years-old. It is characterized by acute episodes of dyspnea with wheezing that can alternate with asymptomatic or sporadic coughing and wheezing periods. In childhood, familial atopic predisposition allergy is the most common etiology. Rarely, asthma in children is causing exclusively by exercise or non-steroidal anti-inflammatory drugs (NSAIDs). Pathogenic factors are: bronchial hyperresponsiveness and bronchial epithelial cells airway inflammation. Differential diagnosis should be taken into account in all cases. Diagnosis and severity degree classification rely on the anamnesis, allergological study (skin tests, IgE, molecular analysis) and the respiratory function tests (spirometry, broncholability and exhaled nitric oxide).

Bibliographic References

  • Morales E, Strachan D, Asher I, Ellwood P, Pearce N, García Marcos L; ISAAC phase III study group; ISAAC Phase Three Study Group. Combined impact of healthy lifestyle factors on risk of asthma, rhinoconjunctivitis and eczema in school children: ISAAC phase III. Thorax. 2019;74(6):531-8.
  • Mattiuzzi C, Lippi G. Worldwide asthma epidemiology: insights from the global health data exchange. Int Forum Allergy Rhinol. 2020;10(1):75-80.
  • Zaidan MF, Ameredes BT, Calhoun WJ. Management of acute asthma in adults in 2020. JAMA. 2020;323(6):563-4.
  • Ignacio J. Dávila González IJ, Presa IJ, Olaguibel Rivera JM, Zubeldia Ortuño JM, eds. Tratado de alergología. 2ª ed. Madrid: Ergón; 2016. 5. • Darveaux JI, Lemanske RF Jr. Infection related asthma. J Allergy Clin Immunol Pract. 2014;2(6):658-63.
  • White AA, Stevenson DD. N Engl J Med. 2018;379:2281-2.
  • Taussig LM, Wright AL, Holberg CJ, Halonen M, Morgan WJ, Martínez FD. Tucson Children’s respiratory study: 1980 to present. J Allergy Clin Immunol. 2003;111:661-75.
  • Trivedi V, Apala DR, Iyer VN. Occupational asthma: diagnostic challenges and anagements dilemmas. Curr Opin Pulm Med. 2017;23:177-84.
  • Friedman-Jiménez G, Harrison D, Luo H. Occupational asthma and work exacerbated asthma. Semin Respir Crit Care Med. 2015;36:388-407.
  • Armentia A, Garrido Arandia M, Cubells N, Gómez Casado C, Díaz Perales A. Bronchial challenge with Tri a 14 is an alternative diagostic test form baker’s asthma. J Invet Allergol Clin Immunol. 2015;25: 352-7.
  • Safi H, Wangorsch A, Lidholm J, Brini F, Spiric J, Rihs HP, et al. Identification and molecular characterization of allergenic non specific lipid transfer protein from durum wheat (Triticum turgidum). Clin Exp Allergy. 2019;49(1):120-9.12.
  • Armentia A, Lombardero M, Barber D, Castrodeza J, Calderón S, Gil FJ, Callejo AM. Occupational asthma in an agronomist caused by the lentil pest Bruchus lentis. Allergy. 2003;58(11):1200-1.
  • Armentia A, Álvarez R, Moreno-González V, Martín B, Fernández S, Martín S, et al. Occupational airborne contact urticaria, anaphylaxis and asthma in farmers and agronomists due to Bruchus pisorum. Contact Dermatitis. 2020;83(6):466-74.
  • Carder MJ, Seed MJ, Money A, Agius RM, Van Tongeren M. Occupational and work related respiratory disease attributed to cleaning products. Occup Environ Med. 2019;76(8):530-6.
  • Sastre J, Fernández Nieto M, Rico P, Martín S, Barber D, Cuesta J, et al. Specific immunotherapy with a standardized latex extract in allergic workers: a double blind, placebo controlled study. J Allergy Clin Immunol. 2003;111:985-94.
  • Cárdaba Arranz M, Muñoz Moreno MF, Armentia Medina A, Alonso Capitán M, Carreras Vaquer F, Almaraz Gómez A. Health impact assessment of air pollution in Valladolid, Spain. BMJ Open. 2014;4(10):e005999.
  • Trivedi V, Apala DR, Iyer VN. Occupational asthma: diagnostic challenges and management dilemmas. Curr Opin Pulm Med. 2017;23:177-83
Data source: Dialnet