Allergy & Immunology ____________________________________
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Georgia Piedmont Technical College *
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Course
2113
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
3
Uploaded by BarristerDugong2439
Topic Search: Allergy & Immunology ____________________________________
Name: _Aden Gebregergs__________________________________________________ Date:
_Nov/13/2023___________________ Period: __6th___________
Name of Article/Reading: ___Concept of 'Asthma-COPD Overlap' Still Alive Despite
Detractors__
Author(s): __Nicole Lou_______________________________________________Review By: (Name of
Physician)_____N.A_______________
1.
Reading and Understanding
2.
Summarize the main points/facts in at least 6 paragraphs below:
Paragraph #1:Dr Garbo Mak of UW Medicine argues for eliminating “ACO,” emphasizing
the distinct risk factors, environmental exposures, and pathophysiology that distinguish
asthma from COPD.
Paragraph #2:Dr Nicola Hanania of Baylor College of Medicine has a contrary view,
arguing that COA exists separately from asthma and COPD. It highlights common features
with unique features, suggesting that COA may represent a spectrum between asthma
and COPD.
Paragraph #3:Proponents of COA propose that it represents a middle ground between
asthma and COPD, in which individuals have many different characteristics. This group is
often excluded from trials and the estimated incidence is 2-3% in the general population.
Paragraph #4:Hanania focused on the medical way to treat ACO. He recommended using
inhaled corticosteroids (ICS) first, instead of starting with long-acting beta-agonists
(LABA) or long-acting muscarinic antagonists (LAMA) for COPD. He asked for long-term
studies to learn about ACO's healthcare and how it naturally changes over time, and to
create new ways to measure it.
Paragraph #5:The discussion addresses the complexity of asthma and COPD, emphasizing
the importance of recognizing distinct entities for accurate diagnosis and treatment. The
treatable trait model is discussed, focusing on individualized treatments for specific
problems in each patient.
2.
Write down any unfamiliar words or phrases
Pathophysiologies, Phenotypes, Biomarkers, and Prognostic Implications
3.
Look up the definition of at least one of the words from question 2.
Pathophysiologies: The study of the disordered physiological processes associated with disease.
4.
What is/are the main point(s) of the entire reading/article?
The main point revolves around the ongoing debate among pulmonologists about
classifying COA as a distinct respiratory disease. While some have argued for abandoning
the term, citing differences in risk factors and pathophysiology between asthma and
COPD, others argue that COA is a distinct entity with unique characteristics. unique point,
potentially representing the spectrum between asthma and COPD.
5.
Write down a minimum of 3 questions you still have after reading the article.
(Use Level 1, 2, and 3 words)
L1: What are the main arguments against recognizing ACO as a distinct airway
disease?
L2: How does the prevalence of ACO vary in different populations, and why is it
considered an understudied group?
L3: What are the suggested strategies for managing patients with ACO, and how do
they differ from traditional approaches for asthma and COPD?
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