Case reports

Asthma of recent onset in a 43 years-old lady (2007)

1344September 2007

DOI: 10.1594/eaaci.net2007/CR/6-210907




Authors: Sonia Vázquez-Cortés, MD (1)
Isabel Reig, MD (1)
Cristina Benito, BSc (2)
Consuelo Martínez-Cócera, MD PhD (1)
Montserrat Fernández-Rivas, MD PhD (1)

(1) Servicio de Alergia, Hospital Clínico San Carlos, Madrid, Spain
(2) Laboratorio de Investigación, Fundación Hospital Alcorcón, Alcorcón, Spain

Correspondence: This email address is being protected from spambots. You need JavaScript enabled to view it.


CASE REPORT
Click here to download the pdf version !!

A 43 years-old woman was referred to our Allergy Department by her general physician for a 6 months history of asthma and blood eosinophilia.
She reported cough, wheeze and shortness of breath daily that were initially treated with inhaled salbutamol. Rhinoconjunctival symptoms were absent and fever has not been associated. She had presented two severe exacerbations that required emergency care assistance with oxygen, nebulised salbutamol and budesonide, and systemic corticosteroids. Afterwards treatment with inhaled budesonide 160 µg and formoterol 4.5 µg twice a day was started by her general practitioner. Adherence to treatment was poor and the patient needed to use the salbutamol inhaler everyday.
Non-steroidal anti-inflammatory drugs (NSAIDs) were well tolerated, and she denied the intake of any medication. She smoked around 10 cigarettes a day. She had never suffered any relevant illness, she had never travelled abroad, and she had no personal or family history of atopy or asthma.
She worked as a housekeeper and reported worsening of her asthma symptoms when she returned home in the evening. She had noticed an important improvement during a 3 days holiday away from home. Exposure to potential indoor allergens was carefully collected and the only relevant data were the presence of an iguana pet at home for 4 years and a dog for the last year. Cockroaches had been observed at home in the last 6 months. The physical exam was normal including cardiopulmonary auscultation.

* WHICH DIAGNOSTIC STEPS WOULD YOU TAKE? *
Last updated 16 October 2014
Privacy Policy - disclaimer

EAACI recently updated its privacy policy and would like to highlight some key bits of information with you.

  • EAACI does not distribute, share or sell your information;
  • For technical and administrative purposes some information that can be used to identify you may be forwarded to third parties. For example, to process your registration for the EAACI Annual Congress and other EAACI events;
  • The Academy may also send you e-mail messages with news from the society. If you would like to no longer receive them, you can unsubscribe at any time by using the unsubscribe link in any of our communications;
  • You may also update your preferences or your profile information at any time by contacting us.

To continue please confirm that you agree with our updated privacy policy.

Thank you!

You have successfully agreed the new privacy policy – disclaimer.

Thank you!

You disagreed with the new privacy policy – disclaimer and your feedback will be reviewed as soon as possible.

Agree & Continue
Disagree
Send feedback
Cancel