دورية أكاديمية
Characterizing the Asthma Phenotype of Military Personnel.
| العنوان: | Characterizing the Asthma Phenotype of Military Personnel. |
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| المؤلفون: | Boster JM; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Moore Iii WJ; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Stoffel ST; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Barber BS; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Houle MC; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Walter RJ; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Morris MJ; Department of Medicine, Pulmonary/Critical Service, Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA. |
| المصدر: | Military medicine [Mil Med] 2024 Aug 19; Vol. 189 (Supplement_3), pp. 137-141. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
| مواضيع طبية MeSH: | Military Personnel*/statistics & numerical data , Asthma*/blood , Asthma*/epidemiology , Asthma*/diagnosis , Asthma*/physiopathology , Phenotype* , Immunoglobulin E*/blood , Immunoglobulin E*/analysis, Humans ; Male ; Adult ; Female ; Retrospective Studies ; Middle Aged ; Eosinophils ; Biomarkers/blood ; Biomarkers/analysis ; Spirometry/methods ; Risk Factors ; Prevalence |
| مستخلص: | Introduction: Asthma is the most common diagnosis in military personnel who endorse chronic dyspnea. Service members have unique occupational risk factors, and there is concern that airborne exposures in the deployed environment as well as other occupational exposures may contribute to the development of asthma or exacerbate pre-existing disease. Asthma phenotyping with clinical biomarkers such as serum immunoglobulin E (IgE) levels and eosinophil (EOS) counts is useful in defining treatment strategies for the management of asthma. This study sought to characterize the phenotype of medically separated military personnel with career-limiting asthma to define potential management strategies and guide future research evaluating the unexplained prevalence of asthma in this population. Materials and Methods: A retrospective chart review of active duty service members (ADSM) who underwent fitness for duty evaluation via medical evaluation board between 2005 and 2016 and were separated with a minimum 30% conditional disability rating for asthma was performed. Only ADSM who were diagnosed with asthma by a pulmonologist and had spirometry data available were included in the analysis. Demographics, spirometry data, and laboratory data to include IgE levels, radioallergosorbent panels, and EOS counts were analyzed from the DoD electronic medical record. Results: A total of 141 service members were evaluated with a mean age of 42 ± 6.8 years, mean serum EOS count of 300 ± 358 cells/μL, and mean IgE level of 305 ± 363 IU/mL. The patients were further categorized into 4 subgroups based on serum EOS count and IgE level: group A with IgE < 100 IU/mL and EOS < 300 cells/μL (n = 45; 33%), group B with IgE > 100 IU/mL and EOS < 300 cells/μL (n = 44; 32%), group C with IgE < 100 IU/mL and EOS > 300 cells/μL (n = 6; 1%), and group D with IgE > 100 IU/mL, EOS > 300 cells/μL (n = 46; 34%). Among the cohorts, there were no statistically significant differences in demographics, body mass index, spirometry, smoking history, or disability rating. Conclusion: The majority of ADSM with a defined asthma history do not have concordant elevations in serum IgE and blood EOS suggestive of a Th2-high phenotype. Asthma in this population is heterogeneous, and phenotyping using clinical biomarkers may be useful to define optimal treatment strategies. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2024. This work is written by (a) US Government employee(s) and is in the public domain in the US.) |
| المشرفين على المادة: | 37341-29-0 (Immunoglobulin E) 0 (Biomarkers) |
| تواريخ الأحداث: | Date Created: 20240820 Date Completed: 20240820 Latest Revision: 20240820 |
| رمز التحديث: | 20240820 |
| DOI: | 10.1093/milmed/usae060 |
| PMID: | 39160851 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-613X |
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| DOI: | 10.1093/milmed/usae060 |