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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Considerations in difficult-to-control asthma.

Bob Q Lanier1, Millard Tierce1

  • 1Immunology and Respiratory Consultants, Ft. Worth, TX.

International Forum of Allergy & Rhinology
|September 4, 2015
PubMed
Summary

Identifying difficult-to-control asthma involves understanding compliance, comorbidity, and endotypes. Ear, nose, and throat specialists can aid in diagnosing and managing these challenging asthma cases.

Keywords:
Asthma-refractoryQOLbrittledifficult to treatsevere

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Area of Science:

  • Pulmonology and Allergy

Background:

  • Difficult-to-control asthma affects 3-10% of patients, requiring high-dose inhaled glucocorticosteroids (ICS) and/or systemic steroids.
  • This patient subset consumes a disproportionate amount of healthcare resources for asthma management.

Purpose of the Study:

  • To review patterns and diagnostic pathways for difficult-to-control asthma.
  • To highlight the role of ENT specialists in managing refractory asthma.

Main Methods:

  • Conducted Medline searches using terms: "difficult to control," "severe," "refractory," "brittle," and "asthma."
  • Reviewed search results to identify key concepts and diagnostic approaches.

Main Results:

  • Difficult-to-control asthma patterns are linked to patient compliance, comorbidities, and specific endotypes.
  • These factors provide a framework for practitioners to analyze and manage challenging asthma cases.

Conclusions:

  • Ear, nose, and throat (ENT) physicians play a crucial role in recognizing difficult-to-control asthma.
  • ENT specialists offer specialized diagnostic skills and reinforce adherence to treatment regimens for refractory asthma patients.