Asthme sévère : démarche diagnostique et thérapeutique. À propos d’une observation

C. Mbuila , N. Beydon , F. Kamba , L. Mangyanda , L. Lukuni , B. Chatue , A. Personne , E. Blimpo , S. Goulhamhoussen , P. Hayat
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Abstract

Case report

In a 16-year-old teenager hospitalized with a severe asthma attack, the diagnosis of severe asthma associated to allergy and current tobacco smoke and allergen exposure is confirmed. Despite the use of high dose of inhaled antiasthma medication, the disease remains uncontrolled and anti-IgE, omalizumab treatment is started. After few weeks, respiratory symptoms and function dramatically improve.

Conclusion

Severe asthma must be readily diagnosed in order to adapt treatment and avoid fatal outcome or respiratory disability.

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严重哮喘:诊断和治疗方法。关于观察
病例报告:一名因严重哮喘发作而住院的16岁少年,确诊为与过敏和目前的烟草烟雾和过敏原暴露有关的严重哮喘。尽管使用了高剂量的吸入抗哮喘药物,但疾病仍然不受控制,并且开始了抗ige, omalizumab治疗。几周后,呼吸系统症状和功能显著改善。结论重症哮喘必须及时诊断,以适应治疗,避免致命结局或呼吸功能障碍。
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Editorial Board Page tournée et nouveaux rendez-vous L’enseignement de l’allergologie pendant les études médicales en France Toux chronique de l’adulte et reflux gastro-œsophagien Les frontières du bilan allergologique en allergo-anesthésie
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