Exhaled NO levels and blood eosinophil counts independently associate with wheeze and asthma events
Eosinophils and exhaled Nitric Oxide (NO) levels are prominent features of asthma. It is known that both exhaled NO and blood eosinophil counts (B-Eos) are markers of local and systemic eosinophil inflammation respectively, and are elevated in patients with the disease. However, little is known about the association of these markers with wheeze and asthma events. Malinovschi et al [ J Allergy Clin Immunol 2013; 132(4):821-827 ] examined subjects from National Health and Nutrition Examination Survey 2007-2008 and 2009-2010 to determine individual and independent B-Eos and Fraction of Exhaled Nitric Oxide (FENO) levels in relation to wheeze, asthma diagnosis, and asthma events. From the cross sectional study, 12,408 subjects ranging from 6-80 years old were selected who had FENO measurements and blood differential counts. The authors report that the prevalence of current asthma and wheeze increased progressively with FENO values and B-Eos values. Furthermore, ther...