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
Lessons from treatment of intractable asthmatic children
The object of treatment should not be only asthma but also asthmatics
Kyoichiro Toyoshima
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1999 Volume 13 Issue 1 Pages 1-12

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Abstract
Based on current knowledge that bronchial asthma is a chronic inflammatory disorder of the airway and the inflammation causes an associated increase in the existing bronchial hyper-responsiveness to a variety of stimuli, major strategy to manage asthma over a long time is suppression of airway inflammation, now. The proper management mentioned in recent guidelines with the good doctor-patient partnership can decrease the symptoms nearly completely, normalize the pulmonary function and assure the normal daily activity. However, there are asthmatic children who have restriction on school life and daily home life. In addition, nondecreasing asthma death in old children is urgent problem. I think that one reason of these is that over-expectation of the technical progress in medication of asthma as disease lessen the doctor's effort of supporting patient's holistic growth. Many intractable asthmatic children and their parents taught me that out-grow from asthma correlate with rise of his/her holistic growth. I became to believe the goal of pediatric medicine is not only treat the disease but also support the patient's development and growth by the treatment of disease.
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© Japanese Society of Pediatric Allergy and Clinical Immunology
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