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2010 Mar 18 - NEJM Editorial: Choosing Asthma Step-up Care

2010 Mar 18 - NEJM Editorial: Choosing Asthma Step-up Care

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Erika von Mutius, M.D., and Jeffrey M. Drazen, M.D. Volume 362:1042-1043 March 18, 2010 Number 11
Related Article by Lemanske, R. F.

Asthma is both easy and hard to treat. It is easy to treat because the vast majority of patients with asthma require little medication for a lot of benefit. In a patient with asthma previously untreated with a controller (i.e., a medication whose primary mechanism of action is not acute bronchodilation), initiating therapy with a controller often results in an improvement in asthma symptoms and lung function and a reduced number of asthma exacerbations.

In the language of current asthma thinking, this approach addresses both the impairment and risk domains of asthma treatment. Asthma becomes hard to treat when asthma . . .

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