A Case of Severe Asthma with Eosinophilic Otitis Media Successfully Treated with Anti-IgE Monoclonal Antibody Omalizumab
Author(s) -
Azusa Okude,
Etsuko Tagaya,
Mitsuko Kondo,
Manabu aka,
Jun Tamaoki
Publication year - 2012
Publication title -
case reports in pulmonology
Language(s) - English
Resource type - Journals
eISSN - 2090-6846
pISSN - 2090-6854
DOI - 10.1155/2012/340525
Subject(s) - omalizumab , medicine , asthma , otitis , immunoglobulin e , eosinophilic , algorithm , pediatrics , immunology , antibody , surgery , pathology , computer science
A 51-year-old woman had been receiving medical treatment for asthma since she was 21 years old. However, her asthma was poorly controlled despite treatment involving combination inhalation of high-dose corticosteroid and long-acting β 2 -aderenergic agonist (LABA) and regularly taking oral steroids. Hearing loss and otorrhea appeared at the age of 44, and she was given a diagnosis of eosinophilic otitis media (EOM) and received medical treatment. In 2007, symptoms of asthma and otitis media deteriorated. In December 2009, omalizumab therapy was started for refractory asthma. After 2 months of omalizumab treatment, not only asthma, but also hearing loss improved. It is suggested that early initiation of omalizumab therapy may inhibit the progression of progressive EOM.
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