Abstract
Asthma is a highly prevalent but heterogenous condition. Uncontrolled disease is relatively common and may be due to ongoing inflammation and/or persisting bronchial hyper-reactivity. Bronchial thermoplasty has been in use for many years but optimal case selection and post-procedure assessment remain uncertain. We present a case of a gentleman in his 50s with lifelong asthma who experienced a persistent loss of control following influenza A in 2017. Despite multidisciplinary assessment and guideline-based escalation of therapy, he had persisting symptoms. In the context of his atopy, he was trialled unsuccessfully on dupilumab. Bronchial thermoplasty (BT) was undertaken with good clinical benefit. Although his spirometry was little changed by BT, there was improvement in forced oscillometry technique (FOT) measurements. FOT may therefore be a useful addition to the assessment and monitoring of individuals considered for, or undergoing, BT.
RAS ID
77431
Document Type
Journal Article
Date of Publication
12-1-2024
Volume
12
Issue
12
School
School of Medical and Health Sciences
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Publisher
Wiley
Identifier
Niranjan Setty: https://orcid.org/0000-0002-5340-0329
Recommended Citation
Setty, N., Crawford, A., Kyle, B., Thakkar, D., Thomas, R., & Blakey, J. (2024). Oscillometry changes reflect clinically meaningful improvement after bronchial thermoplasty for uncontrolled asthma: A case report. DOI: https://doi.org/10.1002/rcr2.70083
Comments
Setty, N., Crawford, A., Kyle, B., Thakkar, D., Thomas, R., & Blakey, J. (2024). Oscillometry changes reflect clinically meaningful improvement after bronchial thermoplasty for uncontrolled asthma: A case report. Respirology Case Reports, 12(12). https://doi.org/10.1002/rcr2.70083