哮喘异质性和治疗选择:从临床到实验室
2012/01/31
摘要
综述目的:哮喘是一种慢性肺部炎症性疾病,影响着各个种族的人群,包括儿童和常人。哮喘的病因或内在发病原因呈现多样化,从暂时性的环境因素暴露到运动诱导。
近期发现:哮喘一致表现为患者阵发性气道高反应性、慢性气道梗阻和炎症。哮喘表现型的多样性和导致肺部疾病的发作和持续的机制仍然是哮喘治疗、分类和治疗性管理的一大挑战。
总结:本综述针对近期有关哮喘发生的机制、治疗创新点和及其临床运用进行介绍。
(刘国梁 审校)
Curr Opin Allergy Clin Immunol. 2011 Dec 21. [Epub ahead of print]
Asthma heterogeneity and therapeutic options from the clinic to the bench.
Bonfield TL, Ross KR.
Source
aDivision of Pediatrics, Departments of Pulmonary and Allergy, Case Western Reserve University bUniversity Hospitals of Cleveland, Cleveland, Ohio, USA.
Abstract
PURPOSE OF REVIEW: Asthma is a chronic pulmonary inflammatory disease affecting all races, children and adults. The causative or intrinsic development of asthma is diverse, ranging from episodic exposure to environmental insults to physical induction in exercise.
RECENT FINDINGS: Asthma uniquely manifests in affected individuals as episodes of airway hyper-reactivity, chronic airway obstruction, and inflammation. The diversity in asthmatic phenotypes and the mechanisms that lead to initiation and perpetuation of the lung disease continue to make asthma a challenge to treat, classify, and manage therapeutically.
SUMMARY: This review will focus on the newest of mechanistic insights into asthma development, therapeutic innovations, and clinical applications.
Curr Opin Allergy Clin Immunol. 2011 Dec 21. [Epub ahead of print]
上一篇:
哮喘延迟诊断对胸片和临床抗生素使用的影响
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糖皮质激素/长效β2受体激动剂联合吸入治疗哮喘:欧洲专家的观点