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Diagnosis, Evaluation, and Therapy for Severe Refractory Eosinophilic Asthma
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Introduction
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Measurement of Asthma Control According to 2006 GINA Guidelines: MAGIC Study
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Asthma Control in Clinical Practice
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Severe Asthma Is an Airway Disease
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Mechanisms of Eosinophilic Asthma
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GINA-Based Treatment Steps
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Charcot-Robin-Leyden Crystals (Lysophospholipase From Eosinophils)
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Charcot-Robin-Leyden Crystals (Lysophospholipase)
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Curschmann's Spirals
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What Does This Have to Do With Eosinophils?
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Sputum Eosinophils
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Peripheral Blood and Sputum Eosinophils as Biomarkers
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Longitudinal Relationship Between Activated T Cells, Eosinophils, Cytokines, and Pulmonary Function
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Clinical Profile of Patients With Asthma in the UK
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GINA-Based Treatment Steps
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Add-On Treatment to Discuss in Step 5
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Anticytokines Against IL-5
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Mepolizumab for Severe Eosinophilic Asthma (MENSA)
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Reslizumab for Inadequately Controlled Asthma
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Reslizumab for Inadequately Controlled Asthma (cont)
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Change From Baseline in the Oral Glucocorticoid Dose and Asthma Exacerbations: ZONDA Trial
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Anticytokines Against IL-5
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Mechanisms of Eosinophilic Asthma
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Severe Asthma Exacerbations on Dupilumab
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Effect of SC Dupilumab on Nasal Polyp Burden in Patients With Chronic Sinusitis and Nasal Polyposis
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Mechanisms of Eosinophilic Asthma
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Clinical Trials: Omalizumab Reduced Asthma Exacerbation Rates
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Clinical Trials: Persistence of Response to Omalizumab Can Be Predicted at 16 Weeks
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EXALT: Eosinophilic Asthma Predicts Efficacy of Anti-IgE (Omalizumab) in Severe Allergic Asthma
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Exacerbation Rate Reduction With Mepolizumab Baseline Blood Eosinophil Count
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Anti-IL-5 Therapy in Eosinophilic Asthma
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What Is the Relationship Between Blood Eosinophils and Severe Asthma Exacerbations?
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Step 5: Management in Guidelines
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Add-On Treatment to Discuss in Step 5
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When to Use Biologics in Asthma
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The Nasal Polyp Endotype
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Effect of Mepolizumab on Total Polyps Score
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Several (Interdependent) Determinants of Anti-IL-5 Clinical Response in Asthma
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Blood Eosinophil Count Is a Useful Biomarker to Identify Patients With Severe Eosinophilic Asthma
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Mepolizumab vs Placebo in the DREAM Trial
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Conclusion
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Abbreviations
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Abbreviations (cont)
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Abbreviations (cont)
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Abbreviations (cont)
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