Department of Medicine and Surgery, Clinic of Pediatrics, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy -
Department of Medicine and Surgery, Clinic of Pediatrics, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy.
Minerva Med. 2022 Feb;113(1):94-105. doi: 10.23736/S0026-4806.21.07332-8. Epub 2021 Feb 12.
Asthma is a very heterogeneous disease and since early childhood many classifications have been proposed according to phenotype and endotype. The phenotype includes the clinical features of asthma such as age of onset, triggers, comorbidities, response to treatment and evolution over time. The endotype is more difficult to define, includes the underlying immunopathological mechanisms of the disease and requires reliable biomarkers. A deep knowledge of phenotype and endotype of the patient may guide a tailored therapeutic approach. In this review the main phenotypes and endotypes of asthma acknowledged in children will be discussed.
哮喘是一种非常异质性的疾病,自儿童早期以来,已经根据表型和内型提出了许多分类。表型包括哮喘的临床特征,如发病年龄、诱因、合并症、对治疗的反应和随时间的演变。内型更难定义,包括疾病的潜在免疫病理机制,并需要可靠的生物标志物。深入了解患者的表型和内型可以指导个体化的治疗方法。在这篇综述中,将讨论儿童哮喘的主要表型和内型。