Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Allergol Int. 2018 Apr;67(2):172-178. doi: 10.1016/j.alit.2018.01.002. Epub 2018 Feb 9.
It is now widely recognized that asthma and COPD can coexist as asthma-COPD overlap (ACO), but the preliminary attempts at providing universal guidelines for the diagnosis of ACO still need to be improved. We believe that a case can be made for devising guidelines for the diagnosis of this increasingly common disease that are specific to Japan. In this paper, we present our consensus-based description of ACO which we believe is realistic for use in our country. In addition, we cite the scientific evidence for our own "objective" features used to develop the criteria for COPD and asthma diagnosis. We acknowledge that they will need to be validated and updated over time, but hope the results will encourage further research on the characteristics and treatment of this commonly encountered clinical problem.
现在人们普遍认识到，哮喘和 COPD 可以同时存在，即哮喘-COPD 重叠（ACO），但为 ACO 的诊断提供通用指南的初步尝试仍需改进。我们认为，有必要为诊断这种在日本越来越常见的疾病制定专门的指南。在本文中，我们提出了基于共识的 ACO 描述，我们认为这在我们国家是现实可行的。此外，我们还引用了用于制定 COPD 和哮喘诊断标准的“客观”特征的科学证据。我们承认，这些标准需要随着时间的推移进行验证和更新，但希望研究结果能鼓励对这一常见临床问题的特征和治疗方法进行进一步研究。
