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Part of the book series: Current Clinical Practice ((CCP))

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Abstract

A 23-year-old male with a childhood history of mild persistent asthma presents to his primary care physician for an albuterol prescription refill earlier than expected. On further questioning, the patient reveals progressively worsening episodic shortness of breath following his evening runs as well as nighttime awakenings once or twice a week. His current medication regimen includes albuterol for acute attacks and a low dose of fluticasone proprionate for longterm control. The patient is worried about chronic steroid use because of side effects. Physical findings are unremarkable except for a slightly elevated respiratory rate of 25 and scattered wheezes.

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References

  1. Mannino DM, Homa DM, Akinbami LJ, Moorman JE, Gwynn C, Redd SC. Surveillance for asthma-1980-1999. MMWR Surveill Summ 2002;51:1–13.

    Google Scholar 

  2. Becker J, Rogers J, Rossini G, Mirchandani H, D’Alonzo GE, Jr. Asthma deaths during sports: report of a 7-year experience. J Allergy Clin Immunnol 2004;1 13:264–267.

    Article  Google Scholar 

  3. National Asthma Educatoin and Prevention Program. Expert panel report: guidelines for the diagnosis and management of asthma: update on selected topics-2002. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, 1997; NIH publication no. 02-5074.

    Google Scholar 

  4. Leyhnaert B, Neukirch C, Kony S, et al. on behalf of the European Community Respiratory Health Survey. Association between asthma and rhinitis according to atopic sensitization in a population-based study. J Allergy Clin Immunnol 2004;113:86–93.

    Article  Google Scholar 

  5. Silva G, Sherrill D, Guerra S, et al. Asthma as a risk factor for COPD in a longitudinal study. Chest 2004;126:59–65.

    Article  PubMed  Google Scholar 

  6. Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunology 2004;113:59–65.

    Article  Google Scholar 

  7. National Asthma Education and Prevention Program. Guidelines for the diagnosis and management of asthma: expert panel report 2. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, 1997; NIH publication no. 97-4051.

    Google Scholar 

  8. Stoloff S, Stemple DA, Meyer J, Stanford RH, Carranza Rosenzweig JR. Improved refill persistence with fluticasone proprionate and salmeterol in a single inhaler compared with other controller therapies. J Allergy Clin Immunol 2004;113:245–251.

    Article  PubMed  Google Scholar 

  9. Ducharme F, Di Salvio, F. Anti-leukotriene agents compared to inhaled corticosteroids in the management of recurrent and/or chronic asthma and children. Cochrane Database Sys Rev 2005;4.

    Google Scholar 

  10. Ducharme F, Schwartz Z, Hicks G, Kakuma R. Addition of anti-leukotriene agents to inhaled corticosteroids for chronic asthma. Cochrane Database Sys Rev 2004;4:CD003133.

    Google Scholar 

  11. Stempel D, Roberts CS, Stanford RH. Treatment patterns in the months orior to and after asthma-related emergency department visit. Chest 2004;126:75–81.

    Article  PubMed  Google Scholar 

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© 2006 Humana Press Inc., Totowa, NJ

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Patel, D., Mintz, M.L. (2006). Adult Asthma. In: Mintz, M.L. (eds) Disorders of the Respiratory Tract. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-041-6_11

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  • DOI: https://doi.org/10.1007/978-1-59745-041-6_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-556-9

  • Online ISBN: 978-1-59745-041-6

  • eBook Packages: MedicineMedicine (R0)

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