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Difficult asthma in children
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  • Published on:
    Re: Medication compliance and difficult-to-treat asthma
    • Andrew Bush, Paediatrician
    • Other Contributors:
      • S.A.McKenzie

    Dear Editor

    We thank Dr Agarwal for responding to our article. We agree that the commonest cause of steroid resistant asthma is failure to take the prescribed steroids. However, there are perhaps more diagnostic aids than is acknoweldged. Compliance can be taken out of the equation by doing a therapeutic trial of a single intramuscular injection of depot triamcinolone.[1-4] If asthma persists, then it can truly be...

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    Conflict of Interest:
    None declared.
  • Published on:
    Medication compliance and difficult-to-treat asthma

    Dear Editor

    Medication compliance in asthma is disappointingly low and leads to poor asthma control in children. It is very common that parents do not supervise treatment and often report poor asthma control. Many difficult-to-manage asthmatics have ongoing exposure to allergens or other asthma triggers. In such instances, required medication may be very high and the results may be disappointing. Only 30% of pediatric a...

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    Conflict of Interest:
    None declared.