Maski astmy oskrzelowej – opis przypadku

Severe, difficult-to-treat asthma represents a significant burden for the patient and the health system. In difficult-to-treat asthma, factors worsening asthma control may include: inadequate treatment plan (low therapy adherence and compliance), inappropriate inhalation technique, insufficient symptom control using the available classes of medications, incomplete response to treatment (non-responders, steroid-resistance), incorrect diagnosis of asthma or comorbidities, and environmental factors. In difficult asthma it is recommended to perform detailed diagnostics and initiate treatment of concomitant diseases, carry out differential diagnostics of conditions mimicking asthma, educate the patient as to the inhalation technique and check it, eliminate unfavorable environmental factors before current treatment is modified. We described here a case of 30-year-old woman, followed for 4 years in a specialist center, with the diagnosis of severe asthma, frequent exacerbations, hospitalizations, significant changes in lung functions, referred to be included in the program of biologic treatment that came out as tumor of the trachea.