June 9, 2013

Phenotypes and endotypes of severe asthma in children

REVIEW ARTICLE
Korean J Pediatr 2013 May;56(5) :191-195.
Published online 2012 December 28.       
Phenotypes and endotypes of severe asthma in children
Young Yoo
Department of Pediatrics, Allergy Immunology Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
Corresponding Author: Young Yoo ,Tel: +82-2-920-5090, Fax: +82-2-922-7476, Email: yoolina@korea.ac.kr
Copyright © 2013 by The Korean Pediatric Society
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ABSTRACT
Severe childhood asthma is a complicated and heterogeneous disorder with distinct phenotypes. Children with severe asthma have more persistent symptoms despite receiving treatment, more atopy, greater airway obstruction, and more air trapping than those with mild-to-moderate asthma. They also have higher morbidity and substantial airflow limitations that persist throughout adulthood. Identification of the phenotype clusters and endotypes of severe asthma can allow further modulation of the natural history of severe asthma and may provide the pathophysiologic rationale for appropriate management strategies.
Keywords: Severe asthma | Child | Phenotype | Endotype


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