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Thorax 2002;57:915-916 doi:10.1136/thorax.57.10.915
  • Occasional review

Difficult asthma in children

  1. S A McKenzie1,
  2. A Bush2
  1. 1Department of Paediatrics, Royal London Hospital, London E1 1BB, UK
  2. 2Department of Paediatrics, Royal Brompton Hospital, London SW3 6NP, UK
  1. Dr S A McKenzie, 2nd Floor, Fielden House, Royal London Hospital, London E1 1BB, UK;
    S.A.McKenzie{at}qmul.ac.uk

    Abstract

    Asthmatic children on high dose corticosteroids need to be fully assessed to ensure that such dosages are really necessary. Further work needs to be undertaken to find the best approach to poor treatment adherence and false claims for financial support. The benefits of particular components of specialist assessment need to be evaluated prospectively and multicentre collaboration is needed to evaluate phenotype specific treatment and new treatments for truly difficult asthma.

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