The ‘problematic’ asthma patient

Assessment of problematic severe asthma in children.

Assessment of problematic severe asthma in children should be performed in a step-wise manner to ensure an optimal approach. A four-step assessment scheme is proposed. First, a full diagnostic work-up is performed to exclude other diseases which mimic asthma. Secondly, a multi-disciplinary assessment is performed to identify issues that may need attention, including comorbidities. Thirdly, the ...

Asthma in the elderly patient

Asthma affects a significant proportion of elderly patients, but unfortunately, it is responsible for a high asthma-related morbidity and mortality in this population. This may be related not only to the development of a more severe asthma phenotype compared to younger patients, with more marked airway obstruction and a more neutrophilic type of airway inflammation, but also to the presence of ...

Bronchial asthma--patient expectations and the role in asthma care.

Allergic rhinitis and the patient with Asthma

Approximately 10% of all Australians and 14–16% of Australian children have asthma. Practice points • In patients with persistent allergic rhinitis, investigate for asthma (history, chest examination, pre-and post-bronchodilator spirometry if indicated). • In patients with asthma, investigate for rhinitis (history and physical examination). • In patients with both allergic rhinitis and asthma, ...

Bronchial asthma in the elderly patient

❚ Received: May 5, 2016 – Accepted June 17, 2016 ❚ Correspondence: Fabio Perrotta, Department of Cardio-Thoracic and Respiratory Sciences Second University of Naples, Monaldi Hospital, via L. Bianchi, 80131 Naples, Italy Tel. +39 081 5453017 E-mail: [email protected] Asthma is a heterogeneous chronic inflammatory lung disease originating from a complex interaction between individual and envir...