Abstract
Background
One hundred years ago Rackemann published the first description of Intrinsic Asthma. This was the beginning of a process of phenotyping the disease.
Materials and methods
The literature regarding asthma phenotypes of the last 100 years has been checked. Lately, there have been many new publications dealing with this specific asthma phenotype.
Conclusion
Today, the term asthma is looked at as an umbrella covering different phenotypes of the disease. According to a recent publication, Intrinsic Asthma is most often cited now as eosinophilic adult-onset asthma. New treatment strategies for this phenotypes have evolved in recent years.
Similar content being viewed by others
References
Rackemann FM. A clinical study of one hundred and fifty cases of bronchial asthma. Arch Intern Med. 2018;2:517–22.
Virchow C. Intrinsic Asthma: Symptome, Gesamt-IgE Spiegel, Pathophysiologie. Prax Pneumol. 1973;10:578–572.
Turner-Warwick M. On observing patterns of airway obstruction in chronic asthma. Br J Dis Chest. 1977;71:73–86.
Haldar P, Pavord ID, Shaw DE, Berry MA, Thomas M, Brightling CE, et al. Cluster analysis and clinical asthma phenotypes. Am J Respir Crit Care Med. 2008;178:218–24.
Amelink M, de Groot JC, de Nijs SB, Lutter R, Zwinderman AH, Sterk PJ, et al. Severe adult-onset asthma: a distinct phenotype. J Allergy Clin Immunol. 2013;132:336–41.
Brusselle G, Maes T, Bracke K. Eosinophils in the spotlight: eosinophilic airway inflammation in nonallergic asthma. Nat Med. 2013;19(8):977. https://doi.org/10.1038/nm.3300. http://www.nature.com/nm/journal/v19/n8/full/nm.3300.html.
Künzli N, Bridevaux PO, Liu LJ, Garcia-Esteban R, Schindler C, Gerbase MW et al. Traffic-related air pollution correlates with adult-onset asthma among never-smokers. Thorax. 2009;64:664–70.
Coogan PF, Castro-Webb N, Yu J, O’Connor GT, Palmer JR, Rosenberg L. Active and passive smoking and the incidence of asthma in the black women’s health study. Am J Respir Crit Care Med. 2015;191:168–76.
Westerhof GA, Vollema EM, Weersink EJ, Reinartz SM, de Nijs SB, Bel EH. Predictors for the development of progressive severity in new-onset adult asthma. J Allergy Clin Immunol. 2014;134:1051–6.
www.ginasthma.org. Accessed January 15. 2018
www.goldcopd.org. Accessed January 15. 2018
Brutsche MH, Downs SH, Schindler C, Gerbase MW, Schwartz J, Frey M, et al. Bronchial hyperresponsiveness and the development of asthma and COPD in asymptomatic individuals: SAPALDIA cohort study. Thorax. 2006;61:671–7.
Sin DD, Miravitlles M, Mannino DM, Soriano JB, Price D, Celli BR, et al. What is asthma—COPD overlap syndrome? Towards a consensus definition from a round table discussion. Eur Respir J. 2016;48:664–73.
Bafadhel M, Greening NJ, Harvey-Dunstan TC, Williams JE, Morgan MD, Brightling CE, et al. Blood eosinophils and outcomes in severe hospitalized exacerbations of COPD. Chest. 2016;150:320–8.
Watz H, Tetzlaff K, Wouters EF, Kirsten A, Magnussen H, Rodriguez-Roisin R, et al. Blood eosinophil count and exacerbations in severe chronic obstructive pulmonary disease after withdrawal of inhaled corticosteroids: a post-hoc analysis of the WISDOM trial. Lancet Respir Med. 2016;4:390–8.
Pavord ID, Chanez P, Criner GJ, Kerstjens HAM, Korn S, Lugogo N, et al. Mepolizumab for eosinophilic chronic obstructive pulmonary disease. N Engl J Med. 2017;377:1613–29.
Wenzel S. Defining of the persistent adult phenotypes. Lancet. 2006;368:804–13.
Ruffilli A, Bonini S. Susceptibility genes for allergy and asthma. Allergy. 1997;52:256–73.
Wagener AH, Nijs SB, Lutter R, Sousa AR, Weersink EJ, Bel EH, et al. External validation of blood eosinophils, FeNO and serum periostin as surrogates for sputum eosinophils in asthma. Thorax. 2015;70:115–20.
Wüthrich B, Schindler C, Leuenberger P, Ackermann-Liebrich U. Prevalence of atopy and pollinosis in the adult population of Switzerland (SAPALDIA study). Int Arch Allergy Immunol. 1995;106:149–56.
Rothe T. High-altitude sojourn: a treatment option in allergic asthma. Swiss Med Wkly. 2013;143:w13833.
Bel EH, Wenzel SE, Thompson PF, et al. Oral glucocorticoid sparing effect of mepolizumab in eosinophilic asthma. N Engl J Med. 2014;371:1189–97.
Chung KF, Wenzel SE, Brozek L, Bush A, Castro M, Sterk PJ, et al. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Eur Respir J. 2014;43:343–73.
Bjermer L, Lemiere C, Maspero J, Weiss S, Zangrilli J, Germinaro M. Reslizumab for inadequately controlled asthma with elevated blood eosinophil levels: a randomized phase 3 study. Chest. 2016;150:789–98.
Nair P, Wenzel S, Rabe KF, Bourdin A, Lugogo NL, Kuna P, et al. Oral glucocorticoid-sparing effect of Benralizumab in severe asthma. N Engl J Med. 2017;376:2448–58.
Bachert C, Sousa AR, Lund VJ, Scadding GK, Gevaert P, Nasser S, et al. Reduced need for surgery in severe nasal polyposis with mepolizumab: randomized trial. J Allergy Clin Immunol. 2017;140:1024–31.
Al Samri MR, Benedetti A, Préfontaine D, Olivenstein R, Lemière C, Nair P, et al. Variability of sputum inflammatory cells in asthmatic patients receiving corticosteroid therapy: a prospective study using multiple samples. J Allergy Clin Immunol. 2010;125:1161–3.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
T. Rothe gave advice and has given lectures for: AstraZeneca, GSK, TEVA, and Novartis Pharma Schweiz.
Rights and permissions
About this article
Cite this article
Rothe, T. A century of “intrinsic asthma”. Allergo J Int 27, 215–219 (2018). https://doi.org/10.1007/s40629-018-0051-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40629-018-0051-5