Document Detail


The measurement of exhaled nitric oxide in routine practice.
MedLine Citation:
PMID:  20101925     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exhaled nitric oxide (NO) is considered the most easily available clinical test to indirectly assess the level of eosinophilic airway inflammation in asthma, and to predict the efficacy of anti-inflammatory treatment with inhaled corticosteroids (ICS). It is possible to measure the level of exhaled NO using online or offline methods. The most widely used online method employs techniques that enable NO in exhaled air to be measured in a single exhalation, calculating the value at the end-expiratory plateau. Because of the correlation between the level of exhaled NO with the level of eosinophilic inflammation in the airway of asthmatic patients, it has been proposed as a clinical marker in the practice of respiratory and allergy physicians with differing targets. In particular it is considered to be highly effective in the diagnosis of allergic asthma, to be capable of identifying those patients with a higher response probability to inhaled corticosteroids, and to a lesser extent, to be of value in contributing to the management of the disease. The possibility of easily taking measurements of FeNO in an office setting even by relatively young children, and the availability of a portable device, opens a significant perspective for the routine use of FeNO evaluation in daily practice.
Authors:
G Paiola; L Tenero; G Piacentini
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European annals of allergy and clinical immunology     Volume:  41     ISSN:  1764-1489     ISO Abbreviation:  Eur Ann Allergy Clin Immunol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101466614     Medline TA:  Eur Ann Allergy Clin Immunol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University of Verona, Verona, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Anti-Inflammatory Agents / therapeutic use
Asthma / diagnosis*,  drug therapy,  pathology,  physiopathology
Biological Markers / analysis*
Diagnostic Tests, Routine / methods*
Eosinophils / pathology
Exhalation
Humans
Nitric Oxide / analysis*
Practice Guidelines as Topic
Prognosis
Respiratory System / metabolism*,  pathology
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Inflammatory Agents; 0/Biological Markers; 10102-43-9/Nitric Oxide

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