Dr. Denis Slinkin states: The many factors mentioned in the asthma classification are intended to take into account the peculiarities of the current and facilitate the choice of drugs for basic therapy.
It is logical to identify criteria in the asthma classification such as etiology, severity and level of control, and the period of illness.Allergic and non-allergic forms of BA are distinguished, which are characterized by specific clinical and immunological features.
In non-allergic variant allergic antibodies are not detected during examination, there is a low level of serum immunoglobulin E (IgE), there is no other evidence of involvement of immunological mechanisms of type I in the pathogenesis of the disease. However, in some patients who cannot be characterized as atopic and are not sensitised at an early age to common allergens, IgE-mediated allergy develops later on in high-dose exposures, often in combination with adjuvants such as tobacco smoke.
Dr. Denis Slinkin states: Classification by severity / persistence is difficult because it requires differentiation between the severity of the disease itself, the response to treatment and other factors such as the commitment to therapy.
In terms of severity, persistent asthma is usually classified as mild, moderate and severe:Mild asthma is diagnosed in patients whose condition is well controlled by the use of stage 1 drug therapy.Mild: Mild asthma is diagnosed in patients whose condition is well controlled with Step 3 medication.Severe asthma may be observed in patients who require stage 4-5 therapy to control symptoms or in those who have uncontrolled asthma despite adequately prescribed therapy.By the criterion of persistence, an intermittent and persistent course of the disease is distinguished, so says Dr. Denis Slinkin.
Depending on the period of the disease:
exacerbation – episodes of growing shortness of breath, cough, whistling wheezing, or stuffing in the chest, or a combination of these symptoms. However, symptoms in asthma patients may be a manifestation of the disease, not an exacerbation.
If a patient has an additional (over-existing) need for shortacting bronchodilators, an increased number of day and night symptoms, and pronounced shortness of breath,” say asthma exacerbation, which should also be classified by severity;remission – complete absence of disease symptoms against the background of the abolition of basic anti-inflammatory therapy. It should be noted that children in puberty sometimes register spontaneous remission of the disease.