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These childhood\u2010onset conditions are mediated by allergen and allergen\u2010specific IgE and often accompanied by other allergic diseases including food allergy and eczema. They can develop consecutively in the same patient, which is referred to as an allergic march. In contrast, some phenotypes of asthma, nonsteroidal anti\u2010inflammatory drugs\u2010exacerbated airway disease (N\u2010ERD), chronic rhinosinusitis with nasal polyps (CRSwNP)\/eosinophilic CRS and allergic bronchopulmonary aspergillosis\/mycosis (ABPA\/ABPM) are adult\u2010onset airway diseases, which are characterized by prominent peripheral blood eosinophilia. Most of these conditions, except for ABPA\/ABPM, are nonatopic, and the coexistence of multiple diseases, including an adult\u2010onset eosinophilic systemic disease, eosinophilic granulomatosis with polyangiitis (EGPA), is common. In this review, we focus on eosinophil biology, genetics and clinical characteristics and the pathophysiology of adult\u2010onset eosinophilic asthma, N\u2010ERD, CRSwNP\/eosinophilic CRS, ABPA\/ABPM and EGPA, while exploring the common genetic, immunological and pathological conditions among these adult\u2010onset eosinophilic diseases.<\/jats:p>","DOI":"10.1111\/all.14620","type":"journal-article","created":{"date-parts":[[2020,10,11]],"date-time":"2020-10-11T07:35:21Z","timestamp":1602401721000},"page":"3087-3099","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":97,"title":["Adult\u2010onset eosinophilic airway diseases"],"prefix":"10.1111","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9044-3061","authenticated-orcid":false,"given":"Koichiro","family":"Asano","sequence":"first","affiliation":[{"name":"Division of Pulmonary Medicine Department of Medicine Tokai University School of Medicine Kanagawa 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