Uso de omalizumab en cinco pacientes con síndrome de sobreposición asma-EPOC (SOAE) en un Hospital Universitario de Puebla: Un estudio observacional

José Carlos os Herrera-García, Ek Ixel Arellano-Montellano, Luis Enrique Jaramillo-Arellano, Andrea Espinoza Arellano
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Abstract

diagnóstico (SOAE) Material métodos: 5 pacientes diagnóstico síndrome aplicación mg ABSTRACT. Introduction: The binomial term overlap asthma/COPD is a subset of patients with persistence and airflow limitation that presents clinical features of both asthma and COPD. Initial studies have shown that omalizumab may be useful in patients with ACOS, it has been shown to improve symptoms, reduce exacerbations and hospitalization, as well as improve lung function parameters and reduced steroid requirement in these patients. Objective: To describe the effect of omalizumab in 5 patients with a diagnosis of overlying asthma/COPD syndrome (OAC) and administration of omalizumab. We describe the experience of our center and the benefits that the treatment has given to our patients. Material and methods: We present 5 cases of patients with a diagnosis of overlap asthma/COPD syndrome after application of omalizumab (300 mg SC each month) significantly improved their symptoms in ACT (asthma control test) and respiratory function tests, mainly in spirometry. This 5 patients gave their consent to present cases. Results: The 5 patients with OAC received Omalizumab have experienced improvement of symptoms in ACT (asthma control test) and improvement of 10 to 20 and 25 points. Omalizumab was well tolerated without complications. 100% of patients showed improvement in symptoms (ACT), higher percentage are women as described in the literature, patients tolerated the treatment without presenting major adverse effects. Conclusion: The cases described offer initial evidence of our medical practice on the benefits of omalizumab in patients with clinically improving overlying asthma/COPD syndrome. Omalizumab demonstrates good tolerance without presenting adverse effects. These benefits have allowed the patient a better quality of life and radically reduce their morbidity. words:
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普埃布拉某大学医院奥玛珠单抗在5例哮喘- epoc重叠综合征(SOAE)患者中的应用:一项观察性研究
diagnóstico (SOAE)材料:5例患者diagnóstico síndrome aplicación mg二项术语重叠哮喘/慢性阻塞性肺病是指同时具有哮喘和慢性阻塞性肺病临床特征的持续性和气流受限患者。初步研究表明,omalizumab可能对ACOS患者有用,它已被证明可以改善这些患者的症状,减少恶化和住院,以及改善肺功能参数和减少类固醇需求。目的:描述奥玛珠单抗在5例诊断为阻塞性哮喘/慢性阻塞性肺病综合征(OAC)的患者中的作用和奥玛珠单抗的应用。我们描述我们中心的经验和治疗给我们的病人带来的好处。材料和方法:我们报告了5例诊断为重叠哮喘/慢性阻塞性肺病综合征的患者,在应用omalizumab(每月300 mg SC)后,其ACT(哮喘控制试验)和呼吸功能试验(主要是肺活量测定)的症状明显改善。这5例患者均同意提出病例。结果:5例接受Omalizumab治疗的OAC患者ACT(哮喘控制试验)症状均有改善,改善程度分别为10 ~ 20分和25分。Omalizumab耐受性良好,无并发症。100%的患者表现出症状改善(ACT),文献中描述的女性比例更高,患者耐受治疗,未出现主要不良反应。结论:所描述的病例为我们的医疗实践提供了初步证据,证明omalizumab对临床改善哮喘/COPD综合征患者的益处。Omalizumab表现出良好的耐受性,没有出现不良反应。这些益处使患者获得了更好的生活质量,并从根本上降低了发病率。词:
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