What is included in the monitoring of mold-related allergic asthma?

Updated: Sep 18, 2017
  • Author: Shih-Wen Huang, MD; Chief Editor: Harumi Jyonouchi, MD  more...
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Answer

The diagnostic workup, including skin testing and pulmonary function testing, is performed on an outpatient basis.

Prescription of drugs depends on the patient's stage of asthma, as follows:

  • Mild intermittent - Short-acting bronchodilator inhaler or mast-cell stabilizer

  • Mild persistent - Short-acting bronchodilator for acute relief, long-acting bronchodilator for long coverage, especially at night, leukotriene antagonist at night, and corticosteroid inhaler as needed

  • Moderate persistent - Short-acting bronchodilator for relief, long-acting bronchodilator for long coverage, leukotriene antagonist at night, and corticosteroid inhaler on a regular basis

  • Severe persistent - Oral corticosteroid daily (The patient may be allowed to use a corticosteroid inhaler as the oral steroid drug is tapered.) short-acting bronchodilator for acute attack, perhaps the addition of long-acting bronchodilator, a daily leukotriene antagonist, and the option of adding theophylline

Spirometry is used at the clinic. A peak flow meter is used at home.


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