Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- infecção do trato respiratório superior recente
- dispneia
- tosse
- sibilos expiratórios
- polipose nasal
Fatores de risco
- história familiar
- alérgenos
- história atópica
- polipose nasal
- obesidade
- refluxo gastroesofágico
- apneia obstrutiva do sono
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- razão VEF₁/CVF
- taxa de pico do fluxo expiratório (TPFE)
- radiografia torácica
- Hemograma completo
Investigações a serem consideradas
- teste de desafio brônquico
- imunoensaio para imunoglobulina E (IgE) específica do alérgeno
- teste alérgico cutâneo por puntura
- fração de óxido nítrico exalado (FeNO)
Algoritmo de tratamento
Colaboradores
Autores
Fellow
Division of Pulmonary and Critical Care Medicine
Department of Medicine
Stanford University School of Medicine
Stanford
CA
Declarações
LE declares that she has no competing interests.
Clinical Assistant Professor (Affiliated)
Division of Pulmonary and Critical Care Medicine
Department of Medicine
Stanford University School of Medicine
Stanford
CA
Declarações
SM declares that he has no competing interests.
Dr Lauren Eggert and Dr Sourav Majumdar would like to gratefully acknowledge Dr Irwani Ibrahim, Dr Kay Choong See, Dr Francis Thien, and Dr Catherine Weiler, previous contributors to this topic.
Declarações
II, KCS, FT, and CW declare that they have no competing interests.
Revisores
Clinical Director
Division of Allergy and Inflammation
Beth Israel Deaconess Medical Center/Harvard Medical School
Boston
MA
Declarações
JS is a consultant for Aventis, GSK, and Novartis/Genentech; is on the Speakers Bureau for Merck, Aventis, GSK, AstraZeneca, Pfizer, Novartis/Genentech, Inspire, and UCB; has had research sponsored by GSK; is an expert witness at Haemonetics; and has received publication honorarium at Emedicine.
Research Manager
Imperial College Healthcare Trust
NHLI Airways Division
Imperial College London (Honorary) Respiratory Research
Chest & Allergy
St Mary's Hospital
London
UK
Declarações
SMSS declares that she has no competing interests.
Professor of Respiratory Medicine
Respiratory Medicine Section
Division of Immunology, Infection & Inflammation
University of Glasgow
Glasgow
UK
Declarações
NT declares that he has no competing interests.
O uso deste conteúdo está sujeito ao nosso aviso legal