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Presse Med. 2016 Nov;45(11):1005-1018. doi: 10.1016/j.lpm.2016.01.019. Epub 2016 Mar 30.

[Seasonality in asthma: Impact and treatments].

[Article in French]

Author information

1
CHU Réunion/GHSR, service de pneumologie, Saint-Pierre, La Réunion; Inserm, UMR 1188 diabète athérothrombose thérapies Réunion-Océan Indien (DéTROI), plateforme CYROI, Sainte-Clotilde, La Réunion; Université de La Réunion, UMR 1188, Sainte-Clotilde, La Réunion. Electronic address: laurent.guilleminault@chu-reunion.fr.
2
AP-HP, hôpital d'enfants-Armand-Trousseau, centre de l'asthme et des allergies, service d'allergologie pédiatrique, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France; Sorbonne universités, UPMC université Paris 06, UMR_S 1136, institut Pierre-Louis d'épidémiologie et de santé publique, équipe EPAR, 75013 Paris cedex, France.
3
Université Paris-Sud, faculté de médecine, Le Kremlin-Bicêtre, France; AP-HP, hôpital de Bicêtre, service de pneumologie, département hospitalo-universitaire thorax innovation, Le Kremlin-Bicêtre, France; Inserm UMR_S 999, Le Kremlin-Bicêtre, France.
4
Centre hospitalo-universitaire de Brest, université de Bretagne Occidentale, département de médecine interne et pneumologie, EA 3878, CIC Inserm 1412, Brest, France.
5
Centre intercommunal de Créteil, service de pédiatrie, Inserm, U955, équipe, Créteil, France; Université Paris-Est, faculté de médecine, Créteil, France.

Abstract

The role of seasons should be taken into account in the management of asthma. The environment varies between seasons and it is well documented that asthma is modulated by environment. Viruses cause asthma exacerbations peak, in winter, in adults while the peak is present in September in children. Allergens are probably a less powerful source of asthma exacerbation than viruses but pollen involvement in spring and summer and dust mites in autumn are indisputable. Air pollutants, present in summer during the hottest periods, are also highly involved in asthma exacerbations. Indoor air pollution, in winter, is also implicated in asthma disease. All these environmental factors are synergistic and increase the risk of asthma exacerbation. Therapies should be adapted to each season depending on environmental factors potentially involved in the asthma disease.

PMID:
27039335
DOI:
10.1016/j.lpm.2016.01.019
[Indexed for MEDLINE]

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