Long-term studies of the natural history of asthma in childhood

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Long-term studies of the natural history of asthma in childhood Hans Bisgaard, MD, DMSc, Klaus Bønnelykke, MD, PhD  Journal of Allergy and Clinical Immunology  Volume 126, Issue 2, Pages 187-197 (August 2010) DOI: 10.1016/j.jaci.2010.07.011 Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Genetic variants might define novel endophenotypes with different underlying mechanisms. Close clinical symptom monitoring in the COPSAC birth cohort suggested that FLG and ORMDL3 variants define 2 distinct endophenotypes. The logarithmic regression lines were calculated from the observed relative risks previously published.36,41A, FLG-associated endophenotype characterized by very early onset of eczema, followed by acute severe asthmatic exacerbations and later development of sensitization.41B, ORMDL3-associated endophenotype (rs7216389) characterized by a strong effect on early development of recurrent wheeze with acute severe asthmatic exacerbations but no effects on eczema or allergic sensitization.36Red line, eczema; blue line, acute severe asthmatic exacerbations; green line, allergic sensitization. Journal of Allergy and Clinical Immunology 2010 126, 187-197DOI: (10.1016/j.jaci.2010.07.011) Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Risk of recurrent wheeze. COPSAC showed a strong association between colonization of the airways with common pathogenic bacteria and development of recurrent wheeze and asthma.63 The close clinical monitoring of age of onset for exposure and outcome allows survival statistics as a powerful statistical tool, as illustrated here by the inverse Kaplan-Meier plot. Copyright 2007 New England Journal of Medicine. Journal of Allergy and Clinical Immunology 2010 126, 187-197DOI: (10.1016/j.jaci.2010.07.011) Copyright © 2010 American Academy of Allergy, Asthma & Immunology Terms and Conditions