Steroid Response in Refractory Asthmatics.
10.3904/kjim.2012.27.2.143
- Author:
An Soo JANG
1
Author Information
1. Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. jas877@schmc.ac.kr
- Publication Type:Review
- Keywords:
Glucocorticoids;
Drug resistance;
Asthma
- MeSH:
Administration, Inhalation;
Anti-Asthmatic Agents/administration & dosage/adverse effects/*therapeutic use;
Anti-Inflammatory Agents/administration & dosage/adverse effects/*therapeutic use;
Asthma/diagnosis/*drug therapy/physiopathology;
Drug Resistance;
Glucocorticoids/administration & dosage/adverse effects/*therapeutic use;
Humans;
Lung/*drug effects/physiopathology;
Severity of Illness Index;
Treatment Outcome
- From:The Korean Journal of Internal Medicine
2012;27(2):143-148
- CountryRepublic of Korea
- Language:English
-
Abstract:
Inhaled glucocorticosteroids are currently the most effective anti-inflammatory controller medications for treating persistent asthma. The efficacies of glucocorticoids include reducing asthma symptoms, reducing exacerbation frequency, improving quality of life, improving lung function, decreasing airway hyperresponsiveness, controlling airway inflammation, and reducing mortality. However, the treatment response to glucocorticosteroids in asthmatics varies, and certain subtypes of asthma, such as refractory asthma, respond poorly to high-dose inhaled glucocorticoid and systemic steroids. The medical costs of treating refractory asthmatics represent about 50% of the total healthcare cost for asthma. A thorough understanding of the mechanisms of glucocorticoid action, patient responses to glucocorticoids, and steroid resistance observed in refractory asthmatics is necessary for the targeted development of therapeutic drugs. This review discusses the characteristics of severe refractory asthmatics and the mechanisms of steroid response and resistance in asthma treatment.
