Difficult to treatment asthma, is it really asthma? Is it really difficult?

Content Provider	Directory of Open Access Journals (DOAJ)
Author	Mohamed Amin Assem Fouad Esam Gad El-rab
Abstract	With the judicious use of inhaled corticosteroids (ICS) and B2 agonists most patients with asthma are easily controlled and managed. However, approximately 5–10% of asthmatics did not respond to standard therapy and are classified as “difficult to treat asthma, DTA”. Many factors can contribute to poor response to conventional therapy. For these patients, a systematic approach is needed to identify false (non-genuine) DTA from true (genuine) intractable DTA. It is essential to sort through and address the above issues before reverting to other therapy. Objectives: The aim of the present study is to evaluate a systematic approach to indentify the patients of false (non-genuine) to true (genuine) DTA and to recognize the underlying different precipitating factors. Conclusion: In apparently DTA there is a high prevalence of false (non-genuine) cases. Identification and management can be achieved by detailed systematic assessment.
Related Links	http://www.sciencedirect.com/science/article/pii/S042276381300246X
ISSN	04227638
DOI	10.1016/j.ejcdt.2013.10.009
Journal	Egyptian Journal of Chest Disease and Tuberculosis
Issue Number	1
Volume Number	63
Language	English
Publisher	Wolters Kluwer Medknow Publications
Publisher Date	2014-01-01
Publisher Place	India
Access Restriction	Open
Subject Keyword	Diseases of the respiratory system Asthma Difficult Resistant Dependant Control Severe
Content Type	Text
Resource Type	Article