[Asthma and obesity : preventable therapeutic trap, with careful follow-up]

Nowadays, more and more obese asthmatics visit a pulmonologist. It is proven that overweight stirs up the severity of the bronchopathy. It is a concept that is now anchored in the minds of most modern practitioners. Nevertheless, the idea that in some patients, excess weight can be an independent cause of the persistence of respiratory complaints, is sometimes neglected. This case report is about a severely obese poorly controlled asthmatic man, who turns out to be suffering from a concomitant obesity-hypoventilation syndrome. His clinical history confirms the necessity of quickly detecting this restrictive syndrome within an obstructive background, before its evolution towards a severe acute respiratory failure, where therapeutic approximations can have dramatic repercussions on the patient's health.