Diagnosis AERD: What are causes and symptoms?

By Adem Lewis / in , , , , , , , , , , /

(fun electronic music) – [Narrator] Approximately
10% of adults with asthma and 40% of patients with
both asthma and nasal polyps have AERD, although they may
not be readily diagnosed. Unfortunately, fragmentation
in medical care and lack of AERD awareness
by many physicians may result in a
delay of diagnosis. AERD is typically
diagnosed in adulthood. It’s an acquired condition so patients may previously
have never had issues taking aspirin or NSAIDs
but now cannot take them without experiencing
an asthma attack or other allergic symptoms. Even while avoiding aspirin, patients will still experience
asthma, nasal congestion, nasal polyps, loss
of sense of smell, intolerance to alcohol
and chronic sinusitis. With proper knowledge of AERD and the expertise
of the specialists at the Penn AERD Center, diagnosing AERD in patients
who present with asthma, nasal polyps and a clearcut
history of respiratory reactions to aspirin or NSAIDs is
often fairly straightforward. In some cases, a supervised
oral graded challenge in a properly equipped
facility by an AERD expert may be necessary to
clinch the diagnosis. This involves the
patient being provided a low dose of aspirin
under close supervision and then safely
gradually increasing dose until mild respiratory
symptoms occur. Once diagnosed,
Penn AERD experts can begin effective treatment.

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