Asthma, rhinitis, and nasal polyp multimorbidities
Arch Bronconeumol (Engl Ed). 2019 Mar;55(3):146-155.
doi: 10.1016/j.arbres.2018.09.001.
Epub 2018 Nov 16.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Neumología, Hospital Universitario Quirón Dexeus, Barcelona. Coordinador Grupo de Rinitis, Área de Asma SEPAR, Barcelona, España. Electronic address: jacastillovizuete@gmail.com.
- 2 Servicio de Alergología, Fundación Jiménez Díaz; CIBERES, Madrid, España.
- 3 Servicio de Otorrinolaringología, Hospital de Jerez, Jerez de la Frontera, Cádiz, España.
- 4 Universitat de Barcelona; IDIBAPS, CIBERES, Barcelona, España.
- 5 Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, España.
- 6 Servicio de Neumología, Grupo Hospitalario Quirón, Marbella, Marbella, Málaga, España.
- 7 Servicio de Neumología, Hospital Universitario La Princesa, Madrid, España.
- 8 Servicio de Neumología, Hospital Virgen del Rocío, Sevilla, España.
- 9 Immumoal·lèrgia Respiratòria Clínica & Experimental, IDIBAPS; Unitat de Rinologia & Clínica de l'Olfacte, Hospital Clínic, Universitat de Barcelona; CIBERES. Coordinador Grupo de Rinitis, Área de Asma SEPAR, Barcelona, España.
Abstract
The aim of this review is to assist pulmonologists in the management of diseases involving both the upper and lower respiratory tract that are linked by a common, interrelated epidemiology, clinical signs and symptoms, and inflammatory mechanism - asthma, in particular. The document discusses the definitions of the various sinonasal phenotypes associated with asthma: allergic and non-allergic rhinitis and chronic rhinosinusitis with or without nasal polyps. Diagnostic criteria and severity levels are also listed. Particular attention has been given to the 2 main syndromes associated with asthma: (i)allergic rhinitis, the most common, and (ii)chronic rhinosinusitis with nasal polyps, the disease most closely associated with severe asthma. To summarize, the upper respiratory tract should always be evaluated in order to achieve a single diagnosis and comprehensive treatment of the "united airway".
Keywords:
ARIA; Allergic rhinitis; Asma; Asthma; Chronic rhinosinusitis; EPOS; GEMA; GINA; Nasal polyposis; POLINA; Poliposis nasal; Rinitis alérgica; Rinosinusitis crónica; Single; Vía respiratoria única.
Copyright © 2018 SEPAR. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Algorithms
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Asthma / complications*
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Asthma / diagnosis
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Asthma / therapy
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Humans
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Multimorbidity*
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Nasal Polyps / complications*
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Nasal Polyps / diagnosis
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Nasal Polyps / therapy
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Practice Guidelines as Topic
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Rhinitis / complications*
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Rhinitis / diagnosis
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Rhinitis / therapy