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如何诊断和表型哮喘。

How to diagnose and phenotype asthma.

机构信息

Department of Medicine, St Joseph's Healthcare, McMaster University, 50 Charlton Avenue East, Hamilton, Ontario L8N4A6, Canada.

出版信息

Clin Chest Med. 2012 Sep;33(3):445-57. doi: 10.1016/j.ccm.2012.05.003. Epub 2012 Jul 7.

DOI:10.1016/j.ccm.2012.05.003
PMID:22929094
Abstract

Asthma has been described as a chronic disease of the airways characterized by variable airflow obstruction, airway hyperresponsiveness, and airway inflammation. This review discusses the diagnosis and phenotyping of asthma, with a special emphasis on phenotyping based on the nature of cellular inflammation and radiological imaging and how this could be used to direct the treatment of asthma and, in the future, to apply specifically directed therapies to specific phenotypes.

摘要

哮喘被描述为一种气道的慢性疾病,其特征是可变的气流阻塞、气道高反应性和气道炎症。这篇综述讨论了哮喘的诊断和表型,特别强调了基于细胞炎症和影像学特征的表型,并探讨了如何将其用于指导哮喘的治疗,以及在未来将特定的靶向治疗应用于特定的表型。

相似文献

1
How to diagnose and phenotype asthma.如何诊断和表型哮喘。
Clin Chest Med. 2012 Sep;33(3):445-57. doi: 10.1016/j.ccm.2012.05.003. Epub 2012 Jul 7.
2
Asthma phenotypes and endotypes: an evolving paradigm for classification.哮喘的表型和内型:一种不断演变的分类范式。
Discov Med. 2013 Apr;15(83):243-9.
3
The role of small airway inflammation in asthma.小气道炎症在哮喘中的作用。
Allergy Asthma Proc. 2002 Jul-Aug;23(4):233-42.
4
[Does phenotyping asthma help to improve differential treatment?].[哮喘的表型分析有助于改善差异化治疗吗?]
Dtsch Med Wochenschr. 2010 Mar;135(10):468-73. doi: 10.1055/s-0030-1249191. Epub 2010 Mar 2.
5
Asthma and the role of inflammation.哮喘与炎症的作用。
Eur J Respir Dis Suppl. 1986;147:16-21.
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The allergic asthma phenotype.过敏性哮喘表型。
J Allergy Clin Immunol Pract. 2014 Nov-Dec;2(6):645-8; quiz 649. doi: 10.1016/j.jaip.2014.09.004. Epub 2014 Nov 6.
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Introduction to asthma and phenotyping.哮喘与表型分析简介。
Adv Exp Med Biol. 2014;795:5-15. doi: 10.1007/978-1-4614-8603-9_1.
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Recent advances in asthma biomarker research.哮喘生物标志物研究的最新进展。
Ther Adv Respir Dis. 2013 Oct;7(5):297-308. doi: 10.1177/1753465813496863. Epub 2013 Aug 1.
9
Treating asthma means treating airway smooth muscle cells.治疗哮喘意味着治疗气道平滑肌细胞。
Eur Respir J. 2008 Aug;32(2):265-74. doi: 10.1183/09031936.00051407.
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Persistent airflow obstruction in patients with asthma: Characteristics of a distinct clinical phenotype.哮喘患者的持续性气流受限:一种独特临床表型的特征
Respir Med. 2015 Nov;109(11):1404-9. doi: 10.1016/j.rmed.2015.09.009. Epub 2015 Sep 21.

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Investigation of the Effect of Asthma on Mortality and Morbidity After Coronary Artery Bypass Surgery.哮喘对冠状动脉搭桥手术后死亡率和发病率影响的调查。
Turk Thorac J. 2020 May;21(3):163-168. doi: 10.5152/TurkThoracJ.2019.180178.
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Inflammatory phenotypes of severe asthma in India.印度重度哮喘的炎症表型
Lung India. 2019 May-Jun;36(3):267-268. doi: 10.4103/lungindia.lungindia_502_18.
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Autoimmune Responses in Severe Asthma.重度哮喘中的自身免疫反应
Allergy Asthma Immunol Res. 2018 Sep;10(5):428-447. doi: 10.4168/aair.2018.10.5.428.
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Modulation of human airway smooth muscle biology by human adipocytes.人脂肪细胞对人呼吸道平滑肌生物学的调节。
Respir Res. 2018 Feb 27;19(1):33. doi: 10.1186/s12931-018-0741-z.
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Sputum cell counts to manage prednisone-dependent asthma: effects on FEV and eosinophilic exacerbations.痰液细胞计数用于管理依赖泼尼松的哮喘:对第一秒用力呼气量和嗜酸性粒细胞性加重的影响
Allergy Asthma Clin Immunol. 2017 Apr 4;13:17. doi: 10.1186/s13223-017-0190-0. eCollection 2017.
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Targeting patients with asthma for omalizumab therapy: choosing the right patient to get the best value for money.针对哮喘患者进行奥马珠单抗治疗:选择合适的患者以实现最佳性价比。
Ther Adv Chronic Dis. 2017 Feb;8(2-3):31-45. doi: 10.1177/2040622317690494. Epub 2017 Feb 1.
7
Hyperpolarized 129Xenon Magnetic Resonance Imaging to Quantify Regional Ventilation Differences in Mild to Moderate Asthma: A Prospective Comparison Between Semiautomated Ventilation Defect Percentage Calculation and Pulmonary Function Tests.超极化129氙磁共振成像定量评估轻至中度哮喘患者的区域通气差异:半自动通气缺陷百分比计算与肺功能测试的前瞻性比较
Invest Radiol. 2017 Feb;52(2):120-127. doi: 10.1097/RLI.0000000000000322.
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Therapeutic potential of anti-IL-6 therapies for granulocytic airway inflammation in asthma.抗白细胞介素-6疗法对哮喘中粒细胞性气道炎症的治疗潜力。
Allergy Asthma Clin Immunol. 2015 Apr 12;11(1):14. doi: 10.1186/s13223-015-0081-1. eCollection 2015.
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Anti-IL5 therapy for asthma and beyond.用于哮喘及其他疾病的抗白细胞介素-5疗法。
World Allergy Organ J. 2014 Dec 4;7(1):32. doi: 10.1186/1939-4551-7-32. eCollection 2014.