title: Adult-onset asthma: is it really different?
abstract: Asthma that starts in adulthood differs from childhood-onset asthma in that it is often non-atopic, more severe and associated with a faster decline in lung function. Understanding of the underlying mechanism of adult-onset asthma and identification of specific phenotypes may further our understanding of pathophysiology and treatment response, leading to better targeting of both existing and new approaches for personalised management. Pivotal studies in past years have led to sustained progress in many areas, ranging from risk factors for development, identification of different phenotypes, and introduction of new therapies. This review highlights and discusses literature on adult-onset asthma, with special focus on the differences from childhood-onset asthma, risk factors for development, phenotypes of adult-onset asthma and new approaches for personalised management.
authors: Dept of Respiratory Medicine, Academic Medical Centre and University of Amsterdam, Amsterdam, The Netherlands. S.B.deNijs@amc.uva.nl
authors: Selma B
authors: SB
authors: de Nijs
authors: Lisette N
authors: LN
authors: Venekamp
authors: Elisabeth H
authors: EH
authors: Bel
mesh_terms: D000328:Adult; D017668:Age of Onset; D000368:Aged; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010641:Phenotype; D057285:Precision Medicine; D011379:Prognosis; D012307:Risk Factors; D012720:Severity of Illness Index
chemical_list: D018927:Anti-Asthmatic Agents