Overview on the treatment of severe bronchial asthma

Childhood asthma, often linked with atopic conditions, poses a challenge when classified as severe and uncontrolled. The 2023 GINA guidelines define severe asthma in children as asthma that remains uncontrolled despite optimized treatment with high-dose ICS-LABA or requires high-dose ICS-LABA to pre...

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Main Authors: Giulio Dinardo, Cristiana Indolfi, Angela Klain, Chiara Lucia Bencivenga, Serena Ferrara, Fabio Decimo, Michele Miraglia del Giudice
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Global Pediatrics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667009723000830
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author Giulio Dinardo
Cristiana Indolfi
Angela Klain
Chiara Lucia Bencivenga
Serena Ferrara
Fabio Decimo
Michele Miraglia del Giudice
author_facet Giulio Dinardo
Cristiana Indolfi
Angela Klain
Chiara Lucia Bencivenga
Serena Ferrara
Fabio Decimo
Michele Miraglia del Giudice
author_sort Giulio Dinardo
collection DOAJ
description Childhood asthma, often linked with atopic conditions, poses a challenge when classified as severe and uncontrolled. The 2023 GINA guidelines define severe asthma in children as asthma that remains uncontrolled despite optimized treatment with high-dose ICS-LABA or requires high-dose ICS-LABA to prevent it from becoming uncontrolled. This category encompasses about 5% of pediatric asthma cases, emphasizing the need for innovative therapeutic exploration. Advances in understanding asthma phenotypes and endotypes enable personalized treatment based on biomarkers. Monoclonal antibodies offer targeted solutions, reducing exacerbations, improving lung function, and minimizing corticosteroid use in pediatric patients. Integrating these therapies requires a personalized approach by healthcare providers, enhancing outcomes in severe and refractory cases.
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spelling doaj.art-5d948ff586e04fa68077415e1b7a4f9c2024-03-15T04:44:52ZengElsevierGlobal Pediatrics2667-00972024-03-017100117Overview on the treatment of severe bronchial asthmaGiulio Dinardo0Cristiana Indolfi1Angela Klain2Chiara Lucia Bencivenga3Serena Ferrara4Fabio Decimo5Michele Miraglia del Giudice6Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyCorresponding author at: Cristiana Indolfi Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.; Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, ItalyChildhood asthma, often linked with atopic conditions, poses a challenge when classified as severe and uncontrolled. The 2023 GINA guidelines define severe asthma in children as asthma that remains uncontrolled despite optimized treatment with high-dose ICS-LABA or requires high-dose ICS-LABA to prevent it from becoming uncontrolled. This category encompasses about 5% of pediatric asthma cases, emphasizing the need for innovative therapeutic exploration. Advances in understanding asthma phenotypes and endotypes enable personalized treatment based on biomarkers. Monoclonal antibodies offer targeted solutions, reducing exacerbations, improving lung function, and minimizing corticosteroid use in pediatric patients. Integrating these therapies requires a personalized approach by healthcare providers, enhancing outcomes in severe and refractory cases.http://www.sciencedirect.com/science/article/pii/S2667009723000830AsthmaSevere asthmaChildrenPrecision medicineMonoclonal antibodiesBiologics
spellingShingle Giulio Dinardo
Cristiana Indolfi
Angela Klain
Chiara Lucia Bencivenga
Serena Ferrara
Fabio Decimo
Michele Miraglia del Giudice
Overview on the treatment of severe bronchial asthma
Global Pediatrics
Asthma
Severe asthma
Children
Precision medicine
Monoclonal antibodies
Biologics
title Overview on the treatment of severe bronchial asthma
title_full Overview on the treatment of severe bronchial asthma
title_fullStr Overview on the treatment of severe bronchial asthma
title_full_unstemmed Overview on the treatment of severe bronchial asthma
title_short Overview on the treatment of severe bronchial asthma
title_sort overview on the treatment of severe bronchial asthma
topic Asthma
Severe asthma
Children
Precision medicine
Monoclonal antibodies
Biologics
url http://www.sciencedirect.com/science/article/pii/S2667009723000830
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