Phenotypes of severe asthma among children and adolescents in Brazil: a … – BMC Blogs Network

Phenotypes of severe asthma among children and adolescents in Brazil: a
BMC Blogs Network
Background The morbidity associated with severe uncontrolled asthma is disproportionately higher in low- and middle-income countries than in high-income countries. The aim of this study was to describe the phenotypic characteristics of difficult-to

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Emerging Molecular Phenotypes of Asthma.

Related Articles

Emerging Molecular Phenotypes of Asthma.

Am J Physiol Lung Cell Mol Physiol. 2014 Oct 17;

Authors: Ray A, Oriss TB, Wenzel SE

Abstract
Although asthma has long been considered a heterogeneous disease, attempts to define subgroups of asthma have been limited. In recent years both clinical and statistical approaches have been utilized to better merge clinical characteristics, biology and genetics. These combined characteristics have been used to define “phenotypes” of asthma, the observable characteristics of a patient determined by the interaction of genes and environment. Identification of consistent clinical phenotypes has been reported across studies. Now the addition of various ‘omics and identification of specific molecular pathways has moved the concept of clinical phenotypes towards the concept of molecular phenotypes. The importance of these molecular phenotypes is being confirmed through the integration of molecularly targeted biologic therapies. Thus, the term global asthma is poised to become obsolete, being replaced by terms which more specifically identify the pathology associated with the disease.

PMID: 25326577 [PubMed – as supplied by publisher]

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Inflammatory phenotypes underlying uncontrolled childhood asthma despite … – 7thSpace Interactive (press release)

Inflammatory phenotypes underlying uncontrolled childhood asthma despite
7thSpace Interactive (press release)
The diagnosis of childhood asthma covers a broad spectrum of pathological mechanisms that can lead to similarly presenting clinical symptoms, but may nonetheless require different treatment approaches. Distinct underlying inflammatory patterns are 

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Adult Phenotypes No Help in Severe Pediatric Asthma – Family Practice News Digital Network


Family Practice News Digital Network

Adult Phenotypes No Help in Severe Pediatric Asthma
Family Practice News Digital Network
Adult asthma phenotypes offer little guidance in the identification and management of severe, therapy-resistant asthma in children. Recent efforts to replicate the findings in severe pediatric asthma, however, met with disappointing results,

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Risk factors for current wheezing and its phenotypes among elementary school children.

Risk factors for current wheezing and its phenotypes among elementary school children.

Pediatr Pulmonol. 2011 Feb;46(2):166-174

Authors: Civelek E, Cakir B, Orhan F, Yuksel H, Boz AB, Uner A, Sekerel BE

BACKGROUND: Accumulating evidence suggests, asthma includes many phenotypes with varying clinical and prognostic features. Epidemiological surveys documented a number of environmental risk factors for the development of asthma and interestingly these differ between and within countries, suggesting that the differences may be related with the different distribution of asthma phenotypes. This study aimed to investigate risk factors of current wheezing (CW) and different wheezing phenotypes in elementary school children. METHODS: Six thousand nine hundred sixty-three 9- to 11-year-old children of a previous multicenter survey where the methodology of the International Study of Asthma and Allergies in Childhood (ISAAC) Phase-II was used were analyzed. Wheezing phenotypes were defined as wheezing with rhinitis (RW), wheezing with rhinoconjunctivitis (RCW), atopic wheezing (AW), non-atopic wheezing (NAW), and frequent wheezing (FW) (?4/year wheezing episodes). RESULTS: The prevalence of CW was 15.8% and among these, 22.4%, 67.3%, 45.9%, 20.5%, and 79.5% were classified as FW, RW, RCW, AW, and NAW, respectively. History of parental asthma/allergic rhinitis, coexistence of other allergic diseases, presence of mold and dampness in the house lived during the first year of life and maternal smoking in pregnancy were found to be risk factors for most phenotypes (odds ratio (OR) ranged from 1.43 to 3.56). Number of household in the last year (OR?=?1.14), prematurity (OR?=?2.08), and duration of breastfeeding (OR?=?1.02) per additional month were found to be risk factor for FW, AW, and RCW, respectively. CONCLUSION: Beside common risk factors for the development of asthma and its phenotypes, certain risk factors appeared to play a role in the development of phenotypic characteristics of asthma. These findings support our hypothesis that each phenotype has not only different clinical characteristics but also has different roots. Pediatr. Pulmonol. 2011; 46:166-174. © 2011 Wiley-Liss, Inc.

PMID: 21290615 [PubMed – as supplied by publisher]

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