Clinical Care

Patients – The Duke Asthma Allergy and Airway Center Asthma Program treats all adult patients (18 years and older) with asthma, whether that be mild intermittent, exercise induced, moderate or severe persistent asthma.  Asthma can be triggered by a variety of environmental, allergic or other exposures.  Our team works with each individual patient to understand not only what is triggering or driving their asthma, but works to develop a comprehensive treatment plan aimed improving patient outcomes.  We are committed to helping patients reduce their need for hospitalizations or emergency room visits, reducing their need for oral corticosteroids and ultimately improve their quality of life.  Our team of experts is ready to help you gain control of your asthma!

Conditions that we treat include:

  • Mild, moderate and severe persistent asthma
  • Exercise induced asthma
  • Asthma in Athletes
  • Allergic Asthma
  • Aspirin (or NSAID) Exacerbated Respiratory Disease
  • Eosinophilic (T2 mediated) Asthma
  • Non-eosinophilic (non-T2 mediated) Asthma
  • Asthma in pregnancy
  • Adult onset asthma
  • Vocal Cord Dysfunction
  • Exercise Induced Laryngeal Obstruction
  • Reflux in Asthma
  • Chronic Sinusitis in Asthma
  • Nasal polyposis in Asthma
  • Eosinophilic Granulomatosis with Polyangiitis
  • Hypereosinophilic Syndrome


Services – As a part of our Duke Asthma Allergy and Airway Center Asthma Program, we have access to a wide variety of diagnostic services to assist in confirming a diagnosis if needed, assessing disease severity, assessing airway inflammation and identifying allergic triggers.  We also have the capability of performing bicycle or treadmill exercise tests that can assess for exercise induced bronchoconstriction and adhere to American Thoracic Society Guidelines.  

A list of services we provide are:

  • Comprehensive pulmonary function testing
  • Bronchodilator testing
  • Methacholine Challenge
  • Mannitol Challenge
  • Fractional Exhaled Nitric Oxide (FeNO)
  • Skin testing for allergies
  • Allergen immunotherapy (allergy shots)
  • Aspirin desensitization
  • Exercise challenge (bicycle or treadmill) for assessment of exercise induced asthma
  • Exercise laryngoscopy
  • Cardiopulmonary exercise testing (VO2 max)