TABLE 1

Possible diagnostic scheme for severe eosinophilic asthma (SEA)

Major criteriaMinor criteria
Diagnosis of severe asthmaLate onset of disease
Evidence of high-load eosinophilic disease (persistent blood or sputum eosinophilia detected on ≥2 occasions)Upper airway disease (i.e. chronic rhinosinusitis, often with nasal polyposis)
Frequent exacerbations (≥2 per year)Role of other biomarkers (e.g. FeNO, periostin and DPP-4)
Dependence (continuous or intermittent) on oral corticosteroids to achieve asthma controlFixed airflow obstruction Air trapping/presence of mucus plugs

DPP-4: dipeptidyl peptidase-4; FeNO: exhaled nitric oxide fraction.