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Nearly 10% of Indian adults suffer from AR and eczema. Although genetic factors had the strongest association for AR and eczema among all age groups, certain early-life and environmental exposures need consideration to devise preventative strategies. www.drsheetusingh.com
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JACI 2022 Nearly 10% of Indian adults suffer from AR and eczema. Although genetic factors had the strongest association for AR and eczema among all age groups, certain early-life and environmental exposures need consideration to devise preventative strategies.
Today’s plan of action • Case vignette • Differential diagnosis • Relevant Investigations • Management & follow up • Summary
Mrs. Sheela • 42 Y F had cough & wheezing everyday since 1month • Prior to this she had intermittent symptoms since 5 y • Sleep got disturbed almost daily • Unable to walk yesterday due to cough • She also has rhinorrhoea and itching in the nose • Family history of asthma • Salbutamol MDI/month Phenotypes of asthma
Examination • RR= 28/min, Pulse= 98/min, BP= 120/80, SPO2=98% • Accessory muscles of respiration active • Auscultation Wheeze