Doenças inflamatórias alérgicas das vias aéreas superiores e suas implicações na asma brônquica – A propósito de um caso clínico

 

Allergic inflammatory diseases of the upper airways and their impact on asthma – Following on from a case report

 

 

Ana L Fonseca ¹

Ana M Arrobas ²

 

 

Resumo

Os autores apresentam o caso clínico de uma doente referenciada à consulta de alergologia respiratória por “asma de difícil controlo”. A investigação clínica conduziu à identificação de patologia inflamatória crónica das vias aéreas superiores de carácter grave, como factor de agravamento da asma brônquica. Após terapêutica, que no referido caso implicou abordagem cirúrgica dos seios perinasais, houve melhoria franca do controlo da asma. A propósito do caso, é efectuada uma revisão das principais patologias inflamatórias alérgicas das vias aéreas superiores (rinite, sinusite e polipose nasal) e abordadas as suas principais implicações no controlo da asma brônquica.

Palavras-chave: Asma brônquica, rinite alérgica, sinusite crónica, polipose nasal.

 

Abstract

The authors present a case report of a patient refered to physician for “difficult-to-treat asthma”. Clinical evaluation concluded that severe chronic inflammatory upper airway disease was an asthma worsening factor. Patient demonstrated improvement in asthma control, after surgery. In the context of the clinical study, the authors present a review of the most common allergic inflammatory diseases of the upper airways (allergic rhinitis, chronic sinusitis and nasal polyposis) and reflect on their impact on asthma.

Key-words: Asthma, allergic rhinitis, chronic sinusitis, nasal polyposis.

 

 

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¹ Interna do Complementar de Pneumologia

² Assistente Hospitalar Graduada de Pneumologia

Serviço de Pneumologia. Director: Dr. Jorge Pires

Hospital Geral do Centro Hospitalar de Coimbra

Quinta dos Vales

Coimbra

 

Recebido para publicação/received for publication: 06.02.02

Aceite para publicação/accepted for publication: 06.05.18