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Vol. 12. Issue 5.
Pages 563-579 (September - October 2006)
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Vol. 12. Issue 5.
Pages 563-579 (September - October 2006)
Artigo de Revisão / Revision Article
Open Access
Doenças inflamatórias alérgicas das vias aéreas superiores e suas implicações na asma brônquica – A propósito de um caso clínico
Allergic inflammatory diseases of the upper airways and their impact on asthma – Following on from a case report
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Ana L. Fonseca1, Ana M. Arrobas2
1 Interna do Complementar de Pneumologia, Serviço de Pneumologia
2 Assistente Hospitalar Graduada de Pneumologia, Hospital Geral do Centro Hospitalar de Coimbra, Quinta dos Vales, Coimbra
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Resumo

Os autores apresentam o caso clínico de uma doente referenciada à consulta de alergologia respiratória por “asma de difícil controlo”. A investigação clínica conduziu à identificação de patologia inflamatória crónica das vias aéreas superiores de carácter grave, como factor de agravamento da asma brônquica. Após terapêutica, que no referido caso implicou abordagem cirúrgica dos seios perinasais, houve melhoria franca do controlo da asma. A propósito do caso, é efectuada uma revisão das principais patologias inflamatórias alérgicas das vias aéreas superiores (rinite, sinusite e polipose nasal) e abordadas as suas principais implicações no controlo da asma brônquica.

Rev Port Pneumol 2006; XII (5): 563-580

Palavras-chave:
Asma brônquica
rinite alérgica
sinusite crónica
polipose nasal
Abstract

The authors present a case report of a patient refered to physician for “difficult-to-treat asthma”. Clinical evaluation concluded that severe chronic inflammatory upper airway disease was an asthma worsening factor. Patient demonstrated improvement in asthma control, after surgery.

In the context of the clinical study, the authors present a review of the most common allergic inflammatory diseases of the upper airways (allergic rhinitis, chronic sinusitis and nasal polyposis) and reflect on their impact on asthma.

Rev Port Pneumol 2006; XII (5): 563-580

Key-words:
Asthma
allergic rhinitis
chronic sinusitis
nasal polyposis
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Copyright © 2006. Sociedade Portuguesa de Pneumologia/SPP
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