1. Severe Chronic Allergic (and Related) Diseases: A Uniform Approach – A MeDALL – GA2LEN – ARIA Position Paper
- Author
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J Rosado-Pinto, Valérie Siroux, Cynthia Hohmann, A. Mazon, Olivier Vandenplas, A. Mohammadi, M. P. Orru, W. J. Fokkens, K-H. Carlsen, G. Khayat, Jean Bousquet, Ronald Dahl, Gailen D. Marshall, Jan Brozek, Stefan Wöhrl, J. Ratomaharo, Nanshan Zhong, Paulo Augusto Moreira Camargos, Mario Sánchez-Borges, A. Yorgancioglu, Mariona Pinart, Mika J. Mäkelä, A. Bedbrook, Jordi Sunyer, Philippe-Jean Bousquet, G. Passalacqua, Raphaëlle Varraso, G. S. Ouedraogo, Ingrid Terreehorst, G.W. Canonica, Bianca Beghe, John Wright, Josep M. Antó, I. Pin, J. Ring, F. Kauffmann, Gerard H. Koppelman, William K. Dolen, B. Koffi N'Goran, K. C. Lødrup Carlsen, Brian J. Lipworth, Alkis Togias, A. Ben Kheder, Ruby Pawankar, Christophe Pison, Dennis M. Williams, Osman M. Yusuf, Eugene R. Bleecker, Holger J. Schünemann, M. Roman Rodriguez, Amiran Gamkrelidze, Elina Toskala, B. Hellquist-Dahl, Sergio Bonini, Bénédicte Jacquemin, Eleni Fthenou, E.H.D. Bel, Michael A. Kaliner, Ruta Dubakiene, C. S. Ang, E. Melen, Isabelle Momas, Elena Gimeno-Santos, Klaus F. Rabe, Ferran Ballester, Barbara Rogala, Antonino Romano, Stefano Guerra, Sam Oddie, E.D. Bateman, H. Douagui, Renato T. Stein, Claus Bachert, Robert M. Naclerio, Fernando D. Martinez, Talant Sooronbaev, Rudolph Valenta, K. C. Bergmann, Inger Kull, M. Morais-Almeida, Marjan Kerkhof, Nikolaos G. Papadopoulos, Josep Roca, L.-P. Boulet, L. T. Le, Daniela Porta, F. Martin, K. S. Bennoor, Alfredo Cesario, Piotr Kuna, William W. Busse, S. Nafti, Mübeccel Akdis, Dirkje S. Postma, Phil Lieberman, Désirée Larenas, Aziz Sheikh, Y. Z. Chen, J Mullol, T. Didi, D. Y. Wang, Marta Benet, Peter Schmid-Grendelmeier, David Price, Tari Haahtela, Dominique Valeyre, F. E. R. Simons, I. Annesi-Maesano, Magnus Wickman, A. Andrianarisoa, Giovanni Viegi, Pascal Demoly, A. El-Meziane, C. E. Baena-Cagnani, Ulf Darsow, S. Palkonen, F. Berrissoul, X. Basagana, R. Gerth van Wijk, J. O. B. Hourihane, B. Pigearias, A. L. Boner, T. D. Nyembue, B. Samolinski, Y. Okamoto, W. Carr, C. van Weel, Marek L. Kowalski, Christopher E. Brightling, Thomas Keil, D. Rezagui, D. J. Costa, Todor A. Popov, Eli O. Meltzer, Ioana Agache, Marcus Maurer, Thomas B. Casale, T. Bieber, Charles Auffray, Antonella Muraro, K. Ohta, T. Zuberbier, Yousser Mohammad, Henriette A. Smit, Manolis Kogevinas, Dermot Ryan, Iris Lavi, Marc Humbert, Sakari Reitamo, J. Just, Martijn C. Nawijn, M. Beji, Bassam Mahboub, F. Mihaltan, Peter H. Howarth, Alvaro A. Cruz, Cevdet Ozdemir, L. Namazova-Baranova, Y. Tremblay, M. E. Zernotti, Adnan Custovic, C. Bindslev Jensen, João Fonseca, Robyn E O'Hehir, O. Kalayci, H. Haddad, Andrew Bush, L. Cox, Mihaela Zidarn, Anca-Mirela Chiriac, H. J. Zar, Judith Garcia-Aymerich, G. K. Scadding, Peter J. Sterk, Richard G. Roberts, Maria Vassilaki, P. Panzner, and P W Hellings
- Subjects
medicine.medical_specialty ,business.industry ,Public health ,Immunology ,macromolecular substances ,General Medicine ,Atopic dermatitis ,medicine.disease ,3. Good health ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Disease severity ,Epidemiology ,medicine ,Physical therapy ,Immunology and Allergy ,Position paper ,Disease process ,030212 general & internal medicine ,Intensive care medicine ,business ,Chronic urticaria ,Asthma - Abstract
Concepts of disease severity, activity, control and responsiveness to treatment are linked but different. Severity refers to the loss of function of the organs induced by the disease process or to the occurrence of severe acute exacerbations. Severity may vary over time and needs regular follow-up. Control is the degree to which therapy goals are currently met. These concepts have evolved over time for asthma in guidelines, task forces or consensus meetings. The aim of this paper is to generalize the approach of the uniform definition of severe asthma presented to WHO for chronic allergic and associated diseases (rhinitis, chronic rhinosinusitis, chronic urticaria and atopic dermatitis) in order to have a uniform definition of severity, control and risk, usable in most situations. It is based on the appropriate diagnosis, availability and accessibility of treatments, treatment responsiveness and associated factors such as comorbidities and risk factors. This uniform definition will allow a better definition of the phenotypes of severe allergic (and related) diseases for clinical practice, research (including epidemiology), public health purposes, education and the discovery of novel therapies.
- Published
- 2012
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