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Asthma, rhinitis, and nasal polyp multimorbidities
José Antonio Castillo Vizuete1, Joaquín Sastre2, Alfonso Del Cuvillo Bernal3
1Servicio de Neumología, Hospital Universitario Quirón Dexeus, Barcelona. Coordinador Grupo de Rinitis, Área de Asma SEPAR, Barcelona, España.
Archivos De Bronconeumologia
|November 20, 2018
Summary
This review highlights the connection between upper and lower airway diseases, particularly asthma. Evaluating sinonasal conditions alongside asthma is crucial for comprehensive patient management and treatment.
Area of Science:
- Respiratory Medicine
- Otolaryngology
- Immunology
Background:
- Asthma often coexists with upper airway diseases.
- A shared inflammatory pathway links sinonasal conditions and asthma.
- Understanding these interrelationships is key for effective management.
Purpose of the Study:
- To provide pulmonologists with guidance on managing upper and lower airway diseases.
- To define sinonasal phenotypes associated with asthma.
- To emphasize the concept of the "united airway" in clinical practice.
Main Methods:
- Review of existing literature on asthma and sinonasal diseases.
- Discussion of epidemiological links, clinical presentations, and inflammatory mechanisms.
- Categorization of sinonasal phenotypes, including allergic rhinitis and chronic rhinosinusitis.
Main Results:
- Identified key sinonasal phenotypes linked to asthma: allergic rhinitis and chronic rhinosinusitis with or without nasal polyps.
- Highlighted allergic rhinitis as the most common comorbidity.
- Emphasized chronic rhinosinusitis with nasal polyps as strongly associated with severe asthma.
Conclusions:
- Integrated management of upper and lower respiratory tracts is essential for optimal asthma control.
- Systematic evaluation of the upper airway is necessary for a unified diagnosis and treatment plan.
- The "united airway" concept guides comprehensive care for patients with comorbid conditions.
Keywords:
ARIAAllergic rhinitisAsmaAsthmaChronic rhinosinusitisEPOSGEMAGINANasal polyposisPOLINAPoliposis nasalRinitis alérgicaRinosinusitis crónicaSingleVía respiratoria únicaMore Related Videos
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