Терапевтический архив (Mar 2021)

Modern understanding of bronchial asthma with fixed airflow obstruction

  • Angelina Yu. Kraposhina,
  • Elena A. Sobko,
  • Irina V. Demko,
  • Anna B. Kacer,
  • Olga V. Kazmerchuk,
  • Yuriy I. Abramov

DOI
https://doi.org/10.26442/00403660.2021.03.200661
Journal volume & issue
Vol. 93, no. 3
pp. 337 – 342

Abstract

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The review provides data on one of the phenotypes of severe bronchial asthma it is asthma with fixed airway obstruction. According to data published today, there is no single pathway for the formation of fixed airway obstruction in patients with severe asthma. Increasing knowledge of the pathophysiology of fixed airway obstruction, as well as identifying the most significant risk factors, is essential for the successful treatment of such patients. In addition, the development of fixed obstruction is associated with a worse and sometimes fatal prognosis. Expanding the existing views is also necessary to overcome the difficulties of differential diagnosis between bronchial asthma with fixed airway obstruction and bronchial asthma in combination with COPD. All this will optimize the approach to the management of patients with bronchial asthma to prevent the formation of fixed airway obstruction.

Keywords