II. Epidemiology

  1. Much more common in children than adults
  2. Age Onset under 40 years old

III. Pathophysiology

  1. IgE mediated response to allergens
    1. Immediate Allergic Reaction
    2. Late-phase Allergic Reaction

IV. Causes

  1. Indoor allergens (perennial allergens)
    1. House Dust mites (most common extrinsic allergen)
    2. Animal Proteins (cat or dog dander)
    3. Mold spores (e.g. Alternaria)
    4. Cockroaches (esp. German Cockroach)
  2. Outdoor allergens (seasonal allergens)
    1. Tree, grass or weed pollens
    2. Mold Spores
  3. Samter's Triad
    1. Aspirin or NSAID sensitivity
    2. Nasal Polyps
    3. Asthma

V. Symptoms

VI. Management

  1. See Environmental Allergen
  2. See Asthma Management
  3. See Asthma Exacerbation
  4. Consider Immunotherapy for those with persistent Allergic Rhinitis and Asthma
  5. Allergic, refractory Severe Asthma may be treated with biologic agents

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Ontology: Allergic asthma (C0155877)

Concepts Disease or Syndrome (T047)
ICD9 493.0
ICD10 J45
SnomedCT 195968006, 16862005, 389146007, 233680000, 195972005, 266358007, 266396008, 155575009, 389145006
French ASTHME, Asthme atopique, Asthme extrinsèque, Asthme allergique
English Extrinsic asthma, Extrinsic asthma NOS, Allergic asthma, ASTHMA EXTRINSIC, extrinsic asthma, extrinsic asthma (diagnosis), Asthma extrinsic, asthma atopic, asthma extrinsic, allergic asthma, atopic asthma, extrinsic allergic asthma, Extrinsic asthma (disorder), Extrinsic asthma NOS (disorder), Allergic atopic asthma (disorder), asthma allergic, Allergic asthma (diagnosis), Atopic asthma, Allergic atopic asthma, Allergic asthma (disorder), asthma; allergic extrinsic, asthma; atopic, asthma; extrinsic, atopic; asthma, extrinsic; asthma, allergic; asthma, extrinsic, allergic; extrinsic asthma, Extrinsic asthma [Ambiguous] (disorder), Allergic atopic asthma [Ambiguous], Asthma, atopic, Asthma, allergic NOS
Dutch atopisch astma, extrinsiek astma, allergisch astma, allergisch; astma, extrinsiek, allergisch; extrinsiek astma, astma; allergisch extrinsiek, astma; atopisch, astma; extrinsiek, atopisch; astma, extrinsiek; astma
German Asthma extrinsisch, extrinsisches Asthma, allergisches Asthma, atopisches Asthma, ASTHMA EXTRINSISCH
Italian Asma estrinseca, Asma allergica, Asma atopico
Portuguese Asma alérgica, Asma extrínseca, Asma atópica, ASMA EXTRINSECA
Spanish Asma atópica, Asma alérgica, Asma extrínseca, asma extrínseco, asma extrínseco (trastorno), asma extrínseco, SAI (trastorno), asma extrínseco, SAI, asma extrínseca, SAI, asma atópica, asma extrínseca (trastorno), asma extrínseca, asma extrínseca, SAI (trastorno), asma alérgica (trastorno), asma alérgica
Japanese 外因性喘息, アトピー性喘息, アレルギー性喘息, アレルギーセイゼンソク, ガイインセイゼンソク, アトピーセイゼンソク
Czech Exogenní astma, Alergické astma, Atopické astma
Hungarian Extrinsic asthma, Atopiás asthma, Allergiás asthma