Severe chronic allergic (and related) diseases: a uniform approach--a MeDALL--GA2LEN--ARIA position paper. - Archive ouverte HAL Access content directly
Journal Articles International Archives of Allergy and Immunology Year : 2012

Severe chronic allergic (and related) diseases: a uniform approach--a MeDALL--GA2LEN--ARIA position paper.

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Claus Bachert
Thomas Bieber
  • Function : Author
  • PersonId : 767911
  • IdRef : 161083382
Alavaro A. Cruz
  • Function : Author
Marcus Maurer
N. G. Papadopoulos
Giorgio Walter Canonica
David J. Costa
Adnan Custovic
  • Function : Author
  • PersonId : 936993
Ruta Dubakiene
  • Function : Author
Joao A. Fonseca
  • Function : Author
Amiran Gamkrelidze
  • Function : Author
Roy Gerth van Wijk
Tari Haahtela
H. Haddad
  • Function : Author
Peter Howarth
Marc Humbert
G. Khayat
  • Function : Author
I. Lavi
  • Function : Author
Joaquim Mullol
Antonella Muraro
Sam Oddie
  • Function : Author
G. S. Ouedraogo
  • Function : Author
Ruby Pawankar
M. Pinart
  • Function : Author
Julia Ratomaharo
  • Function : Author
R. Roberts
  • Function : Author
Antonino Romano
Dermot Ryan
de Yun Wang
J. Wright
  • Function : Author
Arzu Yorgancioglu
Mihaela Zidarn

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.
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Dates and versions

inserm-00788048 , version 1 (13-02-2013)

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Jean Bousquet, Josep M. Anto, Pascal Demoly, Holger J. Schünemann, Alkis Togias, et al.. Severe chronic allergic (and related) diseases: a uniform approach--a MeDALL--GA2LEN--ARIA position paper.. International Archives of Allergy and Immunology, 2012, 158 (3), pp.216-31. ⟨10.1159/000332924⟩. ⟨inserm-00788048⟩
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