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Chetambath, Ravindran
- Symptomatic Tracheal Bronchus Presenting as Upper Lobe Pneumonia-Report of Two Cases
Abstract Views :175 |
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Authors
Affiliations
1 Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 71, No 1 (2018), Pagination: 38-40Abstract
Tracheal bronchus is a congenital anomaly usually asymptomatic and detected incidentally during bronchoscopy. Tracheal bronchus arises from the lower end of trachea before its bifurcation and is usually seen on the right side. Tracheal bronchus is a rare anomaly and symptomatic tracheal bronchus is extremely rare. Here we report two cases of tracheal bronchus reported with clinical features of right upper lobe pneumonia.Keywords
Tracheal Bronchus, Displaced Bronchus, Supernumerary Bronchus.
References
- Barat M, Konrad HR. Tracheal bronchus. Am J Otolaryngol 1987; 8:118-22
- Freeman SJ, Harvey JE, Goddard PR. Demonstration of the supernumerary tracheal bronchus by computed tomographic scanning and magnetic resonance imaging. Thorax 1995; 50:426-27.
- Doolittle AM, Mair EA. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002; 126(3):240-3.
- McLaughlin FJ, Strieder DJ, Harris GBC, et al. Tracheal brounchus: association with respiratory morbidity in childhood. J Paediatr 1985; 106:751-55.
- Invasive Aspergillus Tracheobronchitis Presenting as an Intraluminal Mass - A Rare Case
Abstract Views :185 |
PDF Views:2
Authors
Affiliations
1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 71, No 6 (2018), Pagination: 30-33Abstract
Aspergillus species are capable of producing invasive disease in patients with impaired defence. When trachea and bronchi are the sole sites of Aspergillus infection, it is called invasive aspergillus tracheobronchitis. This occurs in a small percentage of patients who have generalized or local immune disruption. This is a case of isolated invasive Aspergillus tracheobronchitis presenting as intraluminal mass mimicking bronchogenic carcinoma. Bronchoscopic biopsy showed profuse growth of Aspergillus fumigatus and the patient was treated with an antifungal drug. Repeat bronchoscopy after one month showed no evidence of Apergillus growth and there is no evidence of underlying malignancy either. We report this case because of its rarity.Keywords
Aspergillus Tracheobronchitis, Pseudomembranous Tracheobronchitis, Voriconazole.References
- Wu N, Huang Y, Li Q, Bai C, Huang HD, Yao XP. Isolated invasive Aspergillus tracheobronchitis: a clinical study of 19 cases. Clin Microbiol Infect. 2010; 16(6):689-95. doi: 10.1111/j.1469-0691.2009.02923.
- Karnak D, Avery RK, Gildea TR, Sahoo D, Mehta AC. Endobronchial fungal disease: an under-recognized entity. Respiration 2006; 74(1):88–104. [PubMed]
- Endmonds LC, Prakash UB. Lymphoma, neutropenia and wheezing in a 70-year-old man. Chest 1993; 103: 585–587.
- Onozawa M, Takahashi S, Kanamori H, et al. Pseudomembranous tracheobronchial aspergillosis. Internal Medicine Journal 2009; 39(1):65–66.
- Hiromitsu Ohta, Susumu Yamazaki, You Miura, Minoru Kanazawa, Fumikazu Sakai, Makoto Nagata. Invasive tracheobronchial aspergillosis progressing from bronchial to diffuse lung parenchymal lesions. Respirol Case Rep. 2016; 4(1): 32–34.
- Li Y, Yu F, Parsons C, Chen C, Ye M, Ye J, et al. Pseudomembranous Aspergillus tracheobronchitis: a potential for high mortality in low‐risk patients. Am. J. Med. Sci. 2013; 346(5):366–370. [PubMed]
- A Mohan, R Guleria, C Das, S K Sharma, S Mukhopadhyaya, A Nayak. Invasive Tracheobronchial Aspergillosis in an Immunocompetent Person. Am J Med Sci 2005; 329 (2): 107–109
- Routsi C, Kaltsas P, Bessis E, Rontogianni D, Kollias S, Roussos C. Airway obstruction and acute respiratory failure due to Aspergillus tracheobronchitis. Critical Care Medicine. 2004; 32(2):580–582.
- Walsh TJ, Anaissie EJ, Denning DW, et al. Treatment of aspergillosis: clinical practice guidelines of the infectious diseases society of America. Clinical Infectious Diseases 2008; 46(3):327–360.
- COVID 19:How to Tackle Community Spread?
Abstract Views :249 |
PDF Views:1
Authors
Affiliations
1 Professor, Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala
2 Assistant Professor, Professor, Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Professor, Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala
2 Assistant Professor, Professor, Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 73, No 3 (2020), Pagination: 9-9Abstract
No Abstract.Keywords
No Keywords.- Recurrence and Malignant Transformation of Thymoma After 26 Years – A Rare Presentation
Abstract Views :166 |
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Authors
Affiliations
1 Resident Trainee, Internal Medicine, Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
2 Assistant Professor, Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
3 Professor & Head; Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Resident Trainee, Internal Medicine, Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
2 Assistant Professor, Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
3 Professor & Head; Dept of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 74, No 1 (2021), Pagination: 22-25Abstract
Thymoma is a mediastinal tumour with malignant potential, which has a recurrence rate after complete resection ranging from 5 to 50 %. It is an epithelial neoplasm of the thymus, which commonly lies in the anterior mediastinum. Here we present an interesting case of a 58 year old female patient on treatment for Myasthenia Gravis for the past 26 years. She had undergone thymectomy with dissection of pericardium and adjacent pleura 26 years back. Now she had presented with worsening myasthenia symptoms, underwent treatment comprising of steroid pulse therapy and plasmapheresis along with regular medications. She was evaluated for left lung collapse, which revealed a thymoma involving left lung and a solitary deposit on the right side probably metastasis. Though the recurrence rate of thymoma is high, this case is unique as it recurred as malignant thymoma after 26 years.Keywords
Thymoma, Thymic Carcinoma, Myasthenis Gravis, Recurrence.References
- Wu TH, Jin JS, Huang TW, et al. Ectopic cervical thymoma in a patient with myasthenia gravis. J Cardiothorac Surg 2011;6:89.
- Jung KJ, Kyung Soo Lee, Han J, Kim J, Tae Sung Kim, Kim EA. Malignant thymic epithelial tumors: CT-pathologic correlation. Am J Roentgenol. 2001; 176(2):433–39.
- Suster S, Moran CA. Thymic carcinoma: Spectrum of differentiation and histologic types. Pathology 1998;30(2):111–22.
- Detterbeck FC. Evaluation and treatment of stage I and II thymoma. J Thorac Oncol 2010;5:S318-22.
- Tsukada J, Hasegawa I, Sato H, et al. Ectopic cervical thymoma located in the carotid triangle. Jpn J Radiol 2013;31:138 42.
- Debnath J, Chawla N, Talwar R, et al. Pleural and transdiaphragmatic retroperitoneal metastasis developing two and half years after resection of invasive thymoma. Singapore Med J 2008;49:e64-67.
- Detterback F. International thymic malignancies interest group; away forward. J thorac Oncol. 2010;5(10 suppl 4):S365 70
- Mizuno T, Okumura M, Asamura H, Japanese Association of for research on thymus etal, surgical management of recurrent thymic epithelial tumors, a retrospective analysis based on the Japanese nationwide database. Jthorac Oncol. 2015;10(1):199-205
- Awad WI, Symmans PJ, Dussek JE. Recurrence of stage I thymoma 32 years after total excision. Ann Thorac Surg. 1998;66(6):2106–108.
- Hamaji M, Ali SO, Burt BM. A meta-analysis of surgical versus nonsurgical management of recurrent thymoma. Ann Thorac Surg. 2014;98(2):748–55.
- Huang J, Rizk NP, Travis WD, et al. Comparison of patterns of relapse in thymic carcinoma and thymoma. J Thorac Cardiovasc Surg. 2009;138(1):26–31.
- Muller-Hermelink HK, Strobel P, Zettl A, et al. Combined thymic epithelial tumors. In: Travis WD, Brambilla E, Muller-Hermelink HK, Harris CC, editors. Pathology and genetics: tumours of the lung, pleura, thymus and heart (WHO classification of tumours). Lyon: IARC Press; 2004. p. 196–201.
- Wright CD, Wain JC, Wong DR, et al. Predictors of recurrence in thymic tumors: importance of invasion, World
- Health Organization histology, and size. J Thorac Cardiovasc Surg. 2005;130(5):1413–21.
- Ruffini E, Filosso PL, Oliaro A. The role of surgery in recurrent thymic tumors. Thorac Surg Clin. 2009;19(1):121–31.
- Venuta F, Rendina EA, Longo F, et al. Long-term outcome after multimodality treatment for stage III thymic tumors. Ann Thorac Surg. 2003;76(6):1866–72.
- Kondo K, Monden Y. Therapy for thymic epithelial tumors: a clinical study of 1,320 patients from Japan. Ann Thorac Surg. 2003;76(3):878–84.
- Obesity, Obstructive Sleep Apnoea, and Metabolic Syndrome: The Fatal Association
Abstract Views :210 |
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Authors
Affiliations
1 Professor of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Professor of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 74, No 6 (2021), Pagination: 35-41Abstract
Obesity is the most common health risk for individuals of all age groups across the globe. Obstructive sleep apnoea (OSA) is now recognized as a major health problem in developed countries. The prevalence of OSA is undoubtedly rising given the epidemic of obesity. Recent data also suggest that OSA is associated with metabolic syndrome. Pathophysiological triggers of intermittent hypoxia and sleep fragmentation in OSA is responsible for cardiometabolic dysfunction. The potential mechanisms of OSA-obesity-metabolic syndrome interaction involve sympathetic activation, oxidative stress, inflammation and neurohumoral changes. In spite of support for an independent role of OSA in the contribution towards metabolic dysfunction, obesity plays a determinant role in initiating both these conditions.Keywords
obesity, cardiometabolic dysfunction, metabolic syndromeReferences
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- Outbreaks of Nipah Virus (NiV) Infection in Kerala – Lessons Learnt
Abstract Views :142 |
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Authors
Affiliations
1 Professor and Senior Consultant, Dept. of Pulmonary Medicine, Baby Memorial Hospital, Kozhikode, Kerala, IN
1 Professor and Senior Consultant, Dept. of Pulmonary Medicine, Baby Memorial Hospital, Kozhikode, Kerala, IN
Source
The Indian Practitioner, Vol 74, No 9 (2021), Pagination: 27-29Abstract
Kerala witnessed 3 outbreaks of Nipah Virus (NiV) infection in a span of 4 years. An infection unknown to this territory was first detected in 2018 and 21 patients succumbed to the infection. Even though Govt. of Kerala with the help of central agencies could effectively contain the spread of infection, it created panic among the inhabitants of the district. The health authorities rose to the occasion with source detection, source reduction, contact tracing, isolation and effective precautionary measures which were appreciated by international agencies. The lessons learnt from the first NiV outbreak helped the people to restrict the damages in the second and third outbreaks. It is believed that these lessons also helped initially to tackle SARS CoV-2 infection in the state. This review focuses on the health challenges faced by Kerala during the Nipah Virus Disease.Keywords
Nipah Virus Disease, encephalitis, Kozhikode, outbreaksReferences
- Chadha MS, Comer JA, Lowe L, Rota PA, Rollin PE, Bellini WJ, et al. Nipah virus-associated encephalitis outbreak, Siliguri, India. Emerg Infect Dis. 2006; 12:235–40.
- International Centre for Diarrheal Disease Research, Bangladesh. Person-to-person transmission of Nipah virus during outbreak in Faridpur district. Health Sci Bull. 2004; 2:5–9.
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- Kulkarni DD, Tosh C, Venkatesh G, Senthil Kumar D. Nipah virus infection: Current scenario. Indian J Virol. 2013; 24:398– 408.
- Bhargavan Pallivalappil, Althaf Ali, NK Thulaseedharan, Ummer Karadan, Jayakrishnan Chellenton, KP Dipu, et al. Dissecting an Outbreak: A Clinico-epidemiological Study of Nipah Virus Infection in Kerala, India, 2018. J Glob Infect Dis. 2020; 12(1): 21–27.
- Rima R. Sahay, Pragya D. Yadav, Nivedita Gupta, Anita M. Shete, Chandni Radhakrishnan, Ganesh Mohan, et al. Experiential learnings from the Nipah virus outbreaks in Kerala towards containment of infectious public health emergencies in India. Epidemiol Infect. 2020; 148: e90.
- Elimination of Tuberculosis - an Ambitious Approach
Abstract Views :119 |
PDF Views:93
Authors
Affiliations
1 Assistant Professor, Department of Pulmonary Medicine, Karuna Medical College, Palakkad, Kerala., IN
2 Senior Consultant and Chief, Dept. of Pulmonary Medicine, Baby Memorial Hospital, Calicut, Kerala, IN
1 Assistant Professor, Department of Pulmonary Medicine, Karuna Medical College, Palakkad, Kerala., IN
2 Senior Consultant and Chief, Dept. of Pulmonary Medicine, Baby Memorial Hospital, Calicut, Kerala, IN
Source
The Indian Practitioner, Vol 75, No 3 (2022), Pagination: 7-9Abstract
India has been engaged in Tuberculosis control activities for more than 50 years. In spite of this, tuberculosis (TB) continues to be India’s severest health crisis. It is reported that 27% of the total TB cases occur in India. India now possesses advanced technology and effective interventions for diagnosis, treatment and care of TB. With this confidence, the Govt. of India has decided to utilise its full potential and propose transformational changes to end TB by 2025 ahead of the WHO target. This article analyses two ambitious projects in the tuberculosis control activities, which includes system for TB elimination in private sector (STEPS) and the programmatic management of TB infection (PMLTBI).
Keywords
End TB, latent TB, TB eliminationFull Text
References
- Public-Private Mix for DOTS Practical tools to help implementation TB Strategy and Operations Stop TB Department [Internet]. 2003. Available from: http://www.who.int/gtb
- Guidance document on STEPS (System for TB Elimination in Private Sector) in Kerala Background [Internet]. [cited 2021 May 19]. Available from: https://dhs.kerala.gov.in/wpcontent/uploads/2021/01/STEPS-Guidelines.pdf
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- Joint Effort for Elimination of Tuberculosis consortium. JEET Annual Report 2019 [Internet]. [Cited 2021 May 20]. Available from: https://www.projectjeet.in/wp-content/uploads/2020/10/JEET-Annual-Report-2019_Low-Res.pdf
- Rakesh PS, Balakrishnan S, Sunilkumar M, Alexander KG,Vijayan S, Roddawar V, et al. STEPS – a patient centric and low-cost solution to ensure standards of TB care to patients reaching private sector in India. BMC Health Services Research. 2022 Dec 1;22(1).
- Government of Kerala. Guidance document for the peoples’ movement against Tuberculosis in Kerala. Kerala TB Elimination Mission Principles, Strategies and Activities [Internet]. [Cited 2021 May 20]. Available from: https:// dhs.kerala.gov.in/wp-content/uploads/2021/01/KeralaTBElimination-Mission_Strategy-activity-plan-and-budget.pdf
- Izumi K, Ohkado A, Uchimura K, Kawatsu L, Suenaga M, Urakawa M, et al. Evaluation of tuberculosis contact investigations in Japan. International Journal of Tuberculosis and Lung Disease. 2017;21(2):188–95.
- Paton NI, Borand L, Benedicto J, Kyi MM, Mahmud AM, Norazmi MN, et al. Diagnosis and management of latent tuberculosis infection in Asia: Review of current status and challenges. International Journal of Infectious Diseases. Elsevier. 2019; 87:21-29.
- Calcified Mediastinal Lesions: A Rare and Unusual Coincidence
Abstract Views :109 |
PDF Views:89
Authors
Affiliations
1 Professor & Senior Consultant, Department of Pulmonary Medicine, IN
2 Senior Consultant, Department of Pulmonary Medicine, IN
3 Professor & Senior Consultant, Department of Medicine, IN
4 Resident Trainee, Department of Pulmonary Medicine, Baby Memorial Hospital, Calicut, Kerala, IN
1 Professor & Senior Consultant, Department of Pulmonary Medicine, IN
2 Senior Consultant, Department of Pulmonary Medicine, IN
3 Professor & Senior Consultant, Department of Medicine, IN
4 Resident Trainee, Department of Pulmonary Medicine, Baby Memorial Hospital, Calicut, Kerala, IN
Source
The Indian Practitioner, Vol 75, No 6 (2022), Pagination: 35-37Abstract
Calcification in thyroid and thymic tumors are very rare. Here we present two cases reported to the outpatient department within a span of one week. Both of them had radiological evidence of mediastinal tumor with ring calcification in the outer border. One was diagnosed as retrosternal thyroid with calcification by surgical biopsy. The other case was a superior mediastinal tumour with ring calcification and a diagnosis of thymic lesion was made based on the clinical evidence of myasthenia gravis in the patient.
Keywords
Ring calcification, thymic cyst, retrosternal thyroidFull Text
References
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- Changing Trends in Lung Cancer Epidemiology
Abstract Views :87 |
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Authors
Affiliations
1 Resident Trainee, Dept. of Pulmonology, Baby Memorial Hospital, Calicut, Kerala, IN
2 Senior Consultant & Chief of Medical Services, Dept. of Pulmonology, Baby Memorial Hospital, Calicut, Kerala, IN
1 Resident Trainee, Dept. of Pulmonology, Baby Memorial Hospital, Calicut, Kerala, IN
2 Senior Consultant & Chief of Medical Services, Dept. of Pulmonology, Baby Memorial Hospital, Calicut, Kerala, IN
Source
The Indian Practitioner, Vol 75, No 11 (2022), Pagination: 23-26Abstract
Lung cancer is one of the deadliest cancers globally and accounts for most cancer-related deaths. Lung cancer is mostly attributed to smoking even though exposure to environmental pollutants and occupational agents also contributes to its causation. For the last 2 decades, there is a change in epidemiology and histopathological types of lung cancer. More and more women are affected by that too at a younger age when compared to their male counterparts. Another important change noticed is the increase in the number of adenocarcinomas surpassing previously predominant squamous cell carcinoma. This article reviews the changes in the epidemiological and histopathological trends in lung cancer.Keywords
lung cancer, trends, cigarette smoking.References
- Primary Malignant Growths of the Lungs and Bronchi. JAMA. 1912;59(26):2334. DOI:10.1001/jama.
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- Jindal SK, Behera D. Clinical spectrum of primary lung cancer: Review of Chandigarh experience of 10 years. Lung India. 1990;8:94-98.
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- Patel MI, McKinley M, Cheng I, Haile R, Wakelee H, Gomez SL. Lung cancer incidence trends in California by race/ethnicity, histology, sex, and neighborhood socioeconomic status: An analysis spanning 28 years. Lung Cancer. 2017 Jun; 108:140-49.
- Wakelee HA, Chang ET, Gomez SL, Keegan TH, Feskanich D, Clarke CA, Holmberg L, Yong LC, Kolonel LN, Gould MK, West DW. Lung cancer incidence in never smokers. J Clin Oncol. 2007 Feb 10;25(5):472-78.
- Jemal A, Miller KD, Ma J, Siegel RL, Fedewa SA, Islami F, Devesa SS, Thun MJ. Higher Lung Cancer Incidence in Young Women than Young Men in the United States. N Engl J Med. 2018 May 24;378(21):1999-2009.
- Seow A, Poh WT, Teh M, Philip E, Wang Y T, Tan W C, et al. Diet, reproductive factors and lung cancer risk among Chinese women in Singapore: evidence for a protective effect of soy in nonsmokers. Int J Cancer. 2002;97:365–71.
- Guarga L, Ameijide A, Marcos-Gragera R, Carulla M, Delgadillo J, Borràs JM, Galceran J. Trends in lung cancer incidence by age, sex and histology from 2012 to 2025 in Catalonia (Spain). Sci Rep. 2021 Dec 2;11(1):23274. DOI: 10.1038/s41598-021-02582-8.
- Khuder SA. Effect of cigarette smoking on major histological types of lung cancer: a meta-analysis. Lung Cancer. 2001 Feb- Mar;31(2-3):139-48. DOI: 10.1016/s0169-5002(00)00181-1.
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- Hoffmann D, Rivenson A, Hecht SS. The biological significance of tobacco-specific N-nitrosamines: smoking and adenocarcinoma of the lung. Crit Rev Toxicol. 1996;26(2):199-211. DOI: 10.3109/10408449609017931.
- Wynder EL, Muscat JE. The changing epidemiology of smoking and lung cancer histology. Environ Health Perspect. 1995;103(8):143-48.
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- Thunderstorm Asthma
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Authors
Affiliations
1 Internal Medicine Trainee, Dept. of Medicine, NHS Trust, UK, IN
2 Professor & Senior Consultant, Baby Memorial Hospital, Calicut, India, IN
1 Internal Medicine Trainee, Dept. of Medicine, NHS Trust, UK, IN
2 Professor & Senior Consultant, Baby Memorial Hospital, Calicut, India, IN
Source
The Indian Practitioner, Vol 76, No 1 (2023), Pagination: 20-21Abstract
Thunderstorm asthma is a form of allergic asthma occurring after sudden thunderstorms. This can happen suddenly to people in spring or summer when there are a lot of allergens in the air and the weather is hot, dry, windy, and stormy. This can affect a large number of inhabitants in a locality and hence local medical services may find it difficult to meet the exigency. This article reviews the important features and clinical significance of thunderstorm asthma.Keywords
Asthma, thunderstorm, pauci-micronic, pollen grain.References
- U Allitt. Airborne fungal spores and the thunderstorm of 24 June 1994. Aerobiologia 2000; 16(3): 397-440.
- Thien F, Beggs PJ, Csutoros D, Darvall J, Hew M, Davies JM, Bardin PG, Bannister T, Barnes S, Bellomo R, Byrne T, et al. The Melbourne epidemic thunderstorm asthma event 2016: an investigation of environmental triggers, effect on health services, and patient risk factors. Lancet Planet Health. 2018 Jun;2(6):e255-e263. DOI: 10.1016/S2542-5196(18)30120-7. PMID: 29880157.
- Chetambath R, Kumar J. Air pollution in Delhi and health emergency. The Indian Practitioner 2019; 72(11): 8-9.
- Venables KM, Allitt U, Collier CG, Emberlin J, Greig JB, Hardaker PJ, Highham JH, Laing-Morton T, Maynard RL, Murray V, Strachan D, Tee RD. Thunderstorm-related asthma--the epidemic of 24/25 June 1994. Clin Exp Allergy. 1997 Jul;27(7):725-36. PMID: 9249264
- Creating Better Insight into Asthma Management
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Authors
Affiliations
1 Senior Consultant & Chief of Medical Services, Department of Pulmonology, Baby Memorial Hospital, Calicut, Kerala., IN
2 Resident Trainee, Department of Pulmonology, Baby Memorial Hospital, Calicut, Kerala., IN
1 Senior Consultant & Chief of Medical Services, Department of Pulmonology, Baby Memorial Hospital, Calicut, Kerala., IN
2 Resident Trainee, Department of Pulmonology, Baby Memorial Hospital, Calicut, Kerala., IN
Source
The Indian Practitioner, Vol 76, No 6 (2023), Pagination: 21-23Abstract
Asthma is a common disease affecting all age groups. Global Initiative for Asthma is preparing and updating asthma management guidelines regularly. This is to make medical practitioners aware of the importance of early diagnosis and optimal management of asthma. The main factor that creates suffering for asthma patients is under treatment. This may be from the side of the practitioner in the form of delay in diagnosis and failure to use optimal medications. This article focuses on creating awareness among caregivers regarding the selection of optimal management for their asthma patients.Keywords
World Asthma Day, Optimal management, Targeted therapy, Asthma Care for All.References
- Rabe KF, Adachi M, Lai CK, Soriano JB, Vermeire PA, Weiss KB, et al. Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys.J Allergy Clin Immunol. 2004;114(1):40-47. doi: 10.1016/j.jaci.2004.04.042.
- Blanc FX, Postel-Vinay N, Boucot I, De Blic J, Scheinmann P. [The AIRE Study: data analysis of 753 European children with asthma] (in French). Rev Mal Respir 2002Oct;19(5 Pt 1):585-92.
- Dusser D, Montani D, Chanez P, de Blic J, Delacourt C, Deschildre A, et al.Mild asthma: an expert review on epidemiology, clinical characteristics and treatment recommendations. Allergy. 2007Jun;62(6):591-604. doi: 10.1111/j.1398-9995.2007.01394. x.
- Hancox RJ, Cowan JO, Flannery EM, Herbison GP, McLachlan CR, Taylor DR. Bronchodilator tolerance and rebound bronchoconstriction during regular inhaled beta-agonist treatment. Respir Med. 2000Aug;94(8):767-71. doi: 10.1053/rmed.2000.0820.
- Aldridge RE, Hancox RJ, Taylor DR, Cowan JO, Winn MC, Frampton CM, Town GI. Effects of terbutaline and budesonide on sputum cells and bronchial hyperresponsiveness in asthma. Am J Respir Crit Care Med. 2000 May;161(5):1459-64. doi: 10.1164/ajrccm.161.5.9906052.
- Salmeron S, Liard R, Elkharrat D, Muir J, Neukirch F, Ellrodt A. Asthma severity and adequacy of management in accident and emergency departments in France: a prospective study. Lancet. 2001Aug 25;358(9282):629-35. doi: 10.1016/s0140-6736(01)05779-8.
- Mitchell I, Tough SC, Semple LK, Green FH, Hessel PA. Near-fatal asthma: a population-based study of risk factors. Chest 2002May;121(5):1407-13. doi: 10.1378/chest.121.5.1407.