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Published on: November 4, 2010
Difficult asthma in children
1Department of Paediatrics, Royal London Hospital, UK. S.A.McKenzie@qmul.ac.uk
Insights
Asthmatic children on high-dose corticosteroids require thorough assessment to confirm treatment necessity. Future research should address adherence issues and explore new treatments for difficult asthma cases.
Area of Science:
- Pediatric Pulmonology
- Clinical Pharmacy
Background:
- High-dose corticosteroid use in asthmatic children necessitates careful evaluation.
- Challenges exist in managing treatment adherence and financial support claims.
Purpose of the Study:
- To assess the necessity of high-dose corticosteroids in pediatric asthma.
- To identify optimal strategies for improving treatment adherence.
- To evaluate specialist assessment components and new treatments for difficult asthma.
Main Methods:
- Comprehensive assessment of pediatric asthma patients on high-dose corticosteroids.
- Investigation into factors influencing treatment adherence.
- Prospective evaluation of specialist assessment benefits.
- Multicenter collaboration for treatment research.
Main Results:
- High-dose corticosteroid use in children with asthma requires careful justification.
- Addressing poor treatment adherence and financial support claims is crucial.
- Further research is needed to optimize specialist assessments and treatments.
Conclusions:
- Thorough assessment is vital for children with asthma on high-dose corticosteroids.
- Improved strategies for treatment adherence and financial support are necessary.
- Multicenter studies are essential for advancing phenotype-specific and novel therapies for difficult asthma.
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.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma I: Introduction
Asthma III: Clinical Manifestations

