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Volume 65 Number 4 September 1998 |
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| New Concepts in the Pathogenesis and Treatment of Allergic Asthma | 246 |
Mitchell H. Grayson, and Bruce S. Bochner |
ABSTRACT
This review delineates the currently accepted, multifaceted approach to
the care of an asthmatic patient. Therapy is based on our improved
understanding of the pathophysiology of this complex disease, in which
IgE and mediators derived from many cells contribute to airway
inflammation. The latest trends in therapy involve the institution of
anti-inflammatory medications relatively early in disease. With the
recent availability of a novel class of therapies, the leukotriene
antagonists, and other therapies based on antagonism of adhesion
molecules, cytokines, chemokines, or IgE itself, the future may provide
additional alternatives for the physician treating patients with asthma.
KEY WORDS
asthma,
eosinophil,
adhesion,
apoptosis,
cytokines,
chemokines,
education,
IgE,
immunotherapy,
treatment
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