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阿司匹林加重性呼吸道疾病:药物治疗的最新进展

Aspirin-exacerbated respiratory disease: Update on medical management.

作者信息

White Andrew A, Woessner Katharine, Simon Ronald

机构信息

Scripps Clinic, Division of Allergy, Asthma and Immunology, Scripps Green Hospital, San Diego, CA, USA.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2020 Oct 15;6(4):241-247. doi: 10.1016/j.wjorl.2020.07.009. eCollection 2020 Dec.

Abstract

Aspirin-exacerbated respiratory disease (AERD) is frequently diagnosed in patients with severe type 2 airway inflammation presenting with nasal polyps and severe asthma. It has been associated with a recalcitrant course with high medical and surgical requirements. The advent of recent biological and other targeted treatments show promise in the medical management of patient with AERD. The goal of complete disease control where patients no longer require recurrent surgical procedures, systemic corticosteroid exposure and may live with a stable and relatively normal quality of life is now within reach. Further work is necessary to identify biomarkers predictive of treatment response.

摘要

阿司匹林加重性呼吸系统疾病(AERD)常见于患有严重2型气道炎症、伴有鼻息肉和重度哮喘的患者。它与顽固病程相关,对药物和手术治疗需求较高。近期生物制剂及其他靶向治疗方法的出现为AERD患者的医学管理带来了希望。实现疾病完全控制的目标,即患者不再需要反复进行外科手术、避免全身使用糖皮质激素,并且能够以稳定且相对正常的生活质量生活,如今已触手可及。还需要进一步开展工作以确定预测治疗反应的生物标志物。

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