Respiratory comorbidities in severe asthma: focus on the pediatric age

Amelia Licari1,2, Beatrice Andrenacci1, Maria Elisa Di Cicco3

  • 1Pediatric Unit, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.

Insights

Asthma comorbidities significantly impact outcomes, affecting control and quality of life. Managing these treatable traits is crucial for severe pediatric asthma, yet their specific effects remain understudied.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Immunology

Background:

  • Comorbidities in asthma frequently lead to adverse outcomes, including poor disease control, exacerbations, diminished quality of life, and increased healthcare utilization.
  • These comorbidities are recognized as treatable traits, and their effective management is key to achieving optimal asthma control.
  • Despite their prevalence in individuals with asthma, comorbidities can be misdiagnosed, leading to undertreatment or overtreatment, particularly in severe pediatric asthma where their impact is less understood.

Purpose of the Study:

  • To provide a comprehensive, 5-year updated review of respiratory comorbidities in severe asthma.
  • To focus on the epidemiology, pathogenesis, and current and future therapeutic strategies for these comorbidities.

Main Methods:

  • A systematic review of literature published within the last five years.
  • Focus on respiratory comorbidities in the context of severe asthma, with a specific emphasis on pediatric populations.

Main Results:

  • Respiratory comorbidities present unique challenges in childhood asthma management.
  • Multidisciplinary, age-specific, and integrated management approaches are essential.
  • Further research is needed to elucidate the interrelations, synergistic effects, and long-term impacts of these comorbidities.

Conclusions:

  • Understanding and managing respiratory comorbidities is vital for improving outcomes in severe pediatric asthma.
  • Longitudinal studies are necessary to explore treatable risk factors, therapeutic effectiveness, and the link between comorbidities and lung function trajectories.
Abstract

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