Commentary Japanese Pediatric Guideline for the Treatment and Management of Asthma 2017 Chapter 11 Respiratory complications and comorbid conditions of childhood asthma

Abstract

 Careful assessment of children with asthma is important for identifying any coexisting diseases. Allergic rhinitis, sinusitis, and gastroesophageal reflux disease are frequently associated with asthma. In addition, these diseases are risk factors of asthma, and their optimal treatment may improve coexisting asthma. Sublingual immunotherapy for Japanese cedar pollen and house-dust mite allergies have been approved for use in treating younger children with allergic rhinitis. These may alter the course of allergic diseases, a situation called allergic march. The key to managing asthma is prevention and relief of chronic allergic inflammation in both the upper and lower airways.