Última revisão: 20 Dez 2020
Última atualização: 14 Jul 2020

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
Mais primeiras investigações a serem solicitadas

Investigações a serem consideradas

  • teste de desafio brônquico
  • imunoensaio para imunoglobulina E (IgE) específica do alérgeno
  • teste alérgico cutâneo por puntura
Mais investigações a serem consideradas

Novos exames

  • fração de óxido nítrico exalado (FeNO)
  • eosinofilia na expectoração
Mais novos exames

Algoritmo de tratamento

Colaboradores

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.

RevisoresVER TUDO

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.

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