Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology
Online ISSN : 1882-2738
Print ISSN : 0914-2649
ISSN-L : 0914-2649
Pediatric asthma improved by environmental intervention in cooperation with the community
Shinya NomuraTaku OishiToyokazu MorihataMikiya Fujieda
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2020 Volume 34 Issue 5 Pages 537-542

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Abstract

A 9-year-old girl presented with a chief complaint of dyspnea. Her mother had asthma, and her father had allergies to some types of seafood. She was diagnosed with severe asthma and referred to our hospital. Her lifestyle was irregular, and her home environment was poor. She was treated with high-dose inhaled steroids and a leukotriene receptor antagonist. However, it was difficult to perform an environmental intervention because her father and grandfather resisted throwing away their garbage. She was discharged on the 100th day after the room where she spent most of her time was cleaned. Unfortunately, she had an exacerbation four months later. After admission, her symptoms improved rapidly, but her home environment was very poor again, and her parents did not accept any intervention. With the assistance and cooperation of the community and her elementary school teachers, an excellent improvement in her home environment was achieved. Through this case, we recognized the vital importance of environmental intervention.

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© 2020 Japanese Society of Pediatric Allergy and Clinical Immunology
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