PMID- 17454331 OWN - NLM STAT- MEDLINE DCOM- 20070515 LR - 20071203 IS - 0277-0903 (Print) IS - 0277-0903 (Linking) VI - 44 IP - 3 DP - 2007 Apr TI - The impact of comorbid atopic disease on asthma: clinical expression and treatment. PG - 149-61 AB - Clinically, asthma and allergic rhinitis involve separate regions of the respiratory tract while representing a common underlying inflammatory syndrome. Much evidence supports an epidemiologic association between the diseases, paranasal sinus involvement in both conditions, and parallel relationship in severity and treatment outcomes. Pathophysiologic mechanisms, including immunoglobulin E (IgE)- mediated inflammation, are also shared. Blocking IgE with the recombinant humanized monoclonal antibody omalizumab demonstrated clinical efficacy in patients with upper and lower airway diseases. IgE blockade, leukotriene modulation, and B-cell depletion therapy have all exhibited success in chronic inflammation, reinforcing and expanding the beneficial role of immunomodulation of global mediators. FAU - Peters, Stephen AU - Peters S AD - Department of Medicine, Section on Pulmonary, Critical Care, Allergy & Immunologic Diseases and the Center for Human Genomics, Wake Forest University School of Medicine, Winston, NC 27157-1052, USA. sppeters@wfubmc.edu LA - eng GR - HL067663/HL/NHLBI NIH HHS/United States GR - HL069167/HL/NHLBI NIH HHS/United States GR - HL074225/HL/NHLBI NIH HHS/United States GR - HL076285/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - England TA - J Asthma JT - The Journal of asthma : official journal of the Association for the Care of Asthma JID - 8106454 RN - 0 (Anti-Asthmatic Agents) SB - IM MH - Anti-Asthmatic Agents/*therapeutic use MH - Asthma/*complications/epidemiology/*physiopathology/therapy MH - Dermatitis, Atopic/complications MH - Humans MH - Hypersensitivity/*complications MH - Prevalence MH - Rhinitis/complications MH - Sinusitis/complications MH - United States/epidemiology RF - 161 EDAT- 2007/04/25 09:00 MHDA- 2007/05/16 09:00 CRDT- 2007/04/25 09:00 PHST- 2007/04/25 09:00 [pubmed] PHST- 2007/05/16 09:00 [medline] PHST- 2007/04/25 09:00 [entrez] AID - 777187474 [pii] AID - 10.1080/02770900600925478 [doi] PST - ppublish SO - J Asthma. 2007 Apr;44(3):149-61. doi: 10.1080/02770900600925478.