Bronchial asthma is a heterogeneous disease that requires identification of its phenotype and personalized approach to therapy. At the same time, despite wide range therapeutic options, many patients with cannot achieve control over disease. Methodology . The target audience these clinical recommendations are general practitioners, therapists, pediatricians, allergologists-immunologists, pulmon...

The arachidonic acid metabolism via 5-lipoxygenase gives rise to a family of biologically active lipids known as leukotrienes. The role of cysteinyl leukotrienes in the pathogenesis of bronchial asthma is well established. Randomized controlled trials (RCTs) have confirmed the efficacy of leukotriene receptor antagonists (LTRAs), when used as monotherapy or added to inhaled corticosteroids (ICS...

In bronchial asthma, respiratory virus infection involves several issues: 1) respiratory virus infection in infancy is a risk factor for, and may predispose to, the development of asthma later in life; 2) respiratory virus infection is associated with the acute exacerbation of bronchial asthma; and, 3) glucocorticosteroids (GC) are not adequate for controlling asthma-related symptoms upon respi...

Up to now alpha 1-antitrypsin (AAT) augmentation therapy has been approved only for commercial use in selected adults with severe AAT deficiency-related pulmonary emphysema (i.e. PI*ZZ genotypes as well as combinations of Z, rare and null alleles expressing AAT serum concentrations <11 μmol/L). However, the compassionate use of augmentation therapy in recent years has proven outstanding efficac...

A 24 years old man with known history of asthma came acute presentation ascending weakness for4 days following flu like symptoms and worsening asthma. His complete blood counts showed elevated eosinophil count. Nerve conduction neuropathy. Diagnosed Churg Strauss syndrome due to presence asthma, eosinophilia, neuropathy pulmonary infiltrates. is systemic eosinophilic vasculitis involving multip...

allergic rhinitis and asthma share common  epidemiological features and inflammatory processes. the aim of the present study was to document the influence of natural allergen exposure in exhaled no  (eno)  and in spirometric parameters of patients with seasonal allergic rhinitis(sar) and to investigate the differences among subjects with positive versus negative bronchial provocation to metacho...

Bronchial Asthma is defined by the history of respiratory symptoms such as wheeze, shortness breath, chest tightness and cough that vary over time in intensity, together with variable expiratory airflow limitation. Airflow limitation may later become persistent course disease. To compare findings eosinophil counts peripheral blood, induced sputum bronchoalveolar lavage fluid asthmatic patients ...

Churg-Strauss syndrome (CSS) is a granulomatous necrotizing vasculitis of unknown etiology associated with bronchial asthma. Despite affecting small to medium-sized vessels, necrosis of the digits due to vasculitis is extremely rare. We report a case of CSS with necrosis of the toe tips. A 37-year-old woman with asthma, who had been diagnosed with CSS 2 years ago, was admitted to our hospital w...

It is uncommon for bronchial asthma to be a symptom of phaeochromocytoma. We describe a patient with a phaeochromocytoma who presented with worsening of her asthma and persistent dyspnoea between attacks. She had markedly elevated levels of catecholamines. After surgical resection of the phaeochromocytoma there was a lasting improvement of the bronchial asthma. We hypothesize that worsening of ...