Lung India (Jan 2019)

Repeated exacerbation of asthma: An intrinsic phenotype of uncontrolled asthma

  • Neeraj Jain,
  • K Satish,
  • Nitin Abhyankar,
  • Nila Velayudhan,
  • Jayakumar Gurunathan

DOI
https://doi.org/10.4103/lungindia.lungindia_434_17
Journal volume & issue
Vol. 36, no. 2
pp. 131 – 138

Abstract

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Asthma is a chronic disease of the airways affecting a large number of people across the globe. Uncontrolled asthma poses an emotional as well as the physical burden on patients and results in a great economic burden. “Exacerbation-prone phenotype” asthmatics are a cluster of patients who may suffer from more frequent and severe exacerbations than other asthmatics. Factors such as inadequate symptom control, improper adherence to medications, and incorrect use of inhalers are responsible for frequent asthma exacerbations. Caring for the patient with “exacerbation-prone asthma” needs participation from both the doctor as well as the patient. Self-management, improving knowledge about the disease, control of comorbidities, and a stepwise approach with the use of a single inhaler maintenance and reliever therapy in patients with severe asthma could help in delivering better care for the “exacerbation-prone phenotype” of asthmatics.

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