机构:
George Washington Univ, Childrens Natl Med Ctr, Sch Med, Div Pulm & Sleep Med, Washington, DC 20010 USAGeorge Washington Univ, Childrens Natl Med Ctr, Sch Med, Div Pulm & Sleep Med, Washington, DC 20010 USA
Yim, Robert P.
[1
]
Koumbourlis, Anastassios C.
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机构:
George Washington Univ, Childrens Natl Med Ctr, Sch Med, Div Pulm & Sleep Med, Washington, DC 20010 USAGeorge Washington Univ, Childrens Natl Med Ctr, Sch Med, Div Pulm & Sleep Med, Washington, DC 20010 USA
Koumbourlis, Anastassios C.
[1
]
机构:
[1] George Washington Univ, Childrens Natl Med Ctr, Sch Med, Div Pulm & Sleep Med, Washington, DC 20010 USA
Steroid-resistant asthma (SRA) refers to patients with symptoms consistent with asthma who show very poor or no response at all to high doses of inhaled or even of systemic corticosteroids. The current article reviews the SRA related literature focusing on the problems associated with the definition of SRA (especially its association with difficult to control, or severe asthma), its various phenotypes, its molecular basis, and the potential treatment options. The article also discusses the limitations of some of the key criteria used for the determination of SRA and proposes a modified set of criteria that are more applicable to children. (C) 2011 Elsevier Ltd. All rights reserved.
机构:
Natl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USANatl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USA
Leung, DYM
Spahn, JD
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机构:
Natl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USANatl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USA
Spahn, JD
Szefler, SJ
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机构:
Natl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USANatl Jewish Med & Res Ctr, Dept Pediat, Div Allergy & Immunol, Denver, CO 80206 USA