Publications by authors named "Kenta Nishi"

Background: Asthma in the elderly needs more attention in an aging society. However, it is likely to remain underdiagnosed and undertreated. This study aimed to clarify clinical characteristics of new-onset asthma in the elderly, describing the prevalence, predictive factors, and comorbidities after asthma diagnosis of new-onset asthma in the elderly in the general population.

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  • A study investigated the link between prolonged cough and metabolic pathways using data from the Nagahama cohort, which involved self-reported cough symptoms and blood tests.
  • Among 7,432 participants, 632 developed new-onset prolonged cough, with low levels of plasma citric acid found to be significantly associated with this condition.
  • The study suggests that not only citric acid but also other metabolites like isocitric acid and 3-hydroxybutyric acid may have a role, indicating that low blood citric acid could contribute to prolonged cough symptoms.
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Background: Obesity and increased body mass index (BMI) are the known risk factors for adult-onset asthma. Serum free fatty acid (FFA) and other blood lipid levels are generally elevated in patients with obesity and may be involved in the onset of asthma. However, it remains largely unknown.

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  • Bronchial thermoplasty (BT) is a treatment for severe asthma, but the asthma types that respond well to it aren't fully clarified.
  • A study in Japan revealed significant improvements in asthma quality of life, reduced corticosteroid use, and fewer exacerbations after BT, but lung function remained unchanged.
  • Overweight or obese patients with uncontrolled severe asthma benefited more from BT compared to those with normal weight, highlighting the potential advantages of this treatment for certain patient profiles.
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Background: This study investigated the effect of adjuvant sublingual immunotherapy (SLIT) on inhaled corticosteroid (ICS) dose in patients with pollinosis-associated asthma.

Methods: We retrospectively evaluated patients with cedar pollinosis-associated asthma who initiated pharmacotherapy with or without adjuvant SLIT therapy from December 2014 to December 2016 and who continued treatment for 3 years. Changes in ICS dose (fluticasone propionate or its equivalent), antihistamine use, leukotriene antagonist use and intranasal corticosteroid (INCS) use over the 3-year period were compared.

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Blood eosinophil count is a useful measure in asthma or COPD management. Recent epidemiological studies revealed that body mass index (BMI) is positively associated with eosinophil counts. However, few studies focused on the role of adiposity and fatty acid-related metabolites on eosinophil counts, including the effect of genetic polymorphism.

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Immune checkpoint inhibitors (ICIs) have been used to treat lung cancer. Several types of ICI-related interstitial lung diseases have been reported, including organizing pneumonia, non-specific interstitial pneumonia, and diffuse alveolar damage. However, pembrolizumab-associated bronchiolitis requiring treatment for persistent cough has not yet been reported.

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Interstitial lung disease (ILD) has rarely been reported as a manifestation of giant cell arteritis (GCA). We herein report a unique case of GCA in a 76-year-old woman who presented with ILD as an initial manifestation of GCA. Ten years before admission, she had been diagnosed with granulomatous ILD of unknown etiology.

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