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Asthmatic Granulomatosis: A Novel Disease with Asthmatic and Granulomatous Features.

Conclusions. These data suggest that a subset of severe "asthma" manifests a granulomatous pathology which we term "asthmatic granulomatosis". Although identification of this disease currently requires a thoracopic biopsy, alternative approaches to therapy lead to improvement in outcomes. PMID: 22773731 [PubMed - as supplied by publisher] (Source: American Journal of Respiratory and Critical Care Medicine)

Changing Demographics, Epidemiology and Survival of Incident Pulmonary Arterial Hypertension.

ConclusionsThis study highlights the influence of age on phenotypes of incident pulmonary arterial hypertension and has shown the changes in demographics and epidemiology over the past decade in a national setting. The results suggest that there may be two subtypes of patients: the younger subtype with more severe haemodynamic impairment but better survival compared with the older subtype who have more comorbidities. PMID: 22798320 [PubMed - as supplied by publisher] (Source: American Journal of Respiratory and Critical Care Medicine)

Does Bronchial Hyperresponsiveness in Childhood Predict Active Asthma in Adolescence?

CONCLUSION: BHR at 10 years was a significant but modest predictor of active asthma six years later with methacholine challenge being superior to exercise test. PMID: 22798318 [PubMed - as supplied by publisher] (Source: American Journal of Respiratory and Critical Care Medicine)

Respiratory Infection and the Impact of Pulmonary Immunity on Lung Health and Disease.

Authors: Mizgerd JP Abstract Acute lower respiratory tract infection is responsible for an inordinate disease burden. Pulmonary immunity determines the outcomes of these infections. The innate and adaptive immune responses to microbes in the lung are critical to maintaining a healthy respiratory system and to preventing pulmonary disease. In addition to balancing antimicrobial defense against the risk of lung injury during the immediate infection, the shaping of pulmonary immunity by respiratory infection contributes to the pathophysiology of many and even perhaps most chronic pulmonary diseases. This Perspective aims to communicate 2 inter-connected points. First, tremendous morbidity and mortality result from inadequate, misguided, or excessive pulmonary immunity. Second, our und...

The Effect of Vitamin D and Inhaled Corticosteroid Treatment on Lung Function in Children.

CONCLUSION: In asthmatic children treated with inhaled corticosteroids, vitamin D deficiency is associated with poorer lung function than children with vitamin D insufficiency or sufficiency. PMID: 22798322 [PubMed - as supplied by publisher] (Source: American Journal of Respiratory and Critical Care Medicine)

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