Volume 55, Issue 3 pp. 795-802
REVIEW

Bronchoscopy in severe childhood asthma: Irresponsible or irreplaceable?

Megan N. Januska MD

Megan N. Januska MD

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York

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David L. Goldman MD

David L. Goldman MD

Department of Pediatrics, Children's Hospital at Montefiore, Bronx, New York

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Wilmore Webley PhD

Wilmore Webley PhD

Microbiology Department, University of Massachusetts Amherst, Amherst, Massachusetts

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W. Gerald Teague MD

W. Gerald Teague MD

Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia

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Robyn T. Cohen MD

Robyn T. Cohen MD

Boston University School of Medicine, Boston, Massachusetts

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Supinda Bunyavanich MD

Supinda Bunyavanich MD

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York

Department of Genetics and Genomic Sciences, Ichan School of Medicine at Mount Sinai, New York, New York

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Alfin G. Vicencio MD

Corresponding Author

Alfin G. Vicencio MD

Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York

Correspondence Alfin G. Vicencio, Professor of Pediatrics, Mount Sinai Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, #1202B, New York, NY 10029.

Email: [email protected]

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First published: 15 November 2019
Citations: 12

Abstract

For children with severe asthma, guideline-based management focuses on the escalation of anti-inflammatory and bronchodilatory medications while addressing comorbid conditions. Bronchoscopy, in this context, has been relegated to ruling out asthma mimickers. More recently, however, there have been questions surrounding the clinical utility of bronchoscopy in severe childhood asthma. In this solicited lecture summary, we discuss the past, present, and potential future applications of bronchoscopy in severe childhood asthma.

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