• Am. J. Respir. Crit. Care Med. · Feb 2019

    Review

    Mechanisms and Management of Asthma Exacerbations.

    • J Michael Ramsahai, Philip M Hansbro, and Wark Peter A B PAB 1 Priority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia..
    • 1 Priority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.
    • Am. J. Respir. Crit. Care Med. 2019 Feb 15; 199 (4): 423-432.

    AbstractAcute asthma remains an important medical emergency, the most frequent cause of acute admissions in children and a major source of morbidity for adults with asthma. In all ages with asthma, the presence of exacerbations is an important defining characteristic of asthma severity. In this review, we assess the epidemiology of acute asthma, the triggers of acute exacerbations, and the mechanisms that underlie these exacerbations. We also assess current treatments that prevent exacerbations, with an emphasis on the role of type 2 airway inflammation in the context of acute exacerbations and the novel treatments that effectively target this. Finally we review current management strategies of the exacerbations themselves.

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