What's new in pediatric asthma and rhinitis phenotypes and endotypes?

Author:

Roberto Giulia12,Barberi Salvatore3,Marseglia Gian Luigi12,Licari Amelia12

Affiliation:

1. Pediatric Unit, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia

2. Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia

3. Pediatric Unit, Rho and Garbagnate Milanese Hospital, ASST-Rhodense, Milan, Italy

Abstract

Purpose of review This review explores the evolving landscape of pediatric asthma and rhinitis, focusing on identifying and characterizing different subtypes. Recent findings Childhood asthma and rhinitis are prevalent respiratory conditions frequently occurring together. To address the need for a precise definition of these diseases, an unbiased and comprehensive phenotyping approach has been undertaken with hypothesis-free analysis of extensive datasets to uncover new relationships among clinical, environmental, and biological characteristics. On the other hand, the concept of endotype is elaborate and multifaceted, representing distinct pathophysiological mechanisms underlying the clinical presentation and requires the identification of reliable biomarkers. The recognition of multiple inflammatory endotypes underscores the need for in-depth characterization, which could revolutionize the treatment landscape. Summary Comprehending phenotypes and endotypes is crucial for customizing effective and personalized management approaches for children with asthma and rhinitis. More precise and efficient care can be administered through recognition and detailed characterization, ultimately enhancing patients’ quality of life.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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