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Archives of Disease in Childhood 2004;89:893
Copyright © 2004 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2004;89:893
© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health

Atoms

Howard Bauchner, Editor in Chief

The first 150 words of the full text of this article appear below.

TREATING CHILDREN WITH ASTHMA

Treating children with asthma has become increasingly difficult, although admittedly I do not have fond memories of measuring and adjusting theophylline levels in the 1970s and 1980s. Currently, virtually all guidelines for the treatment of children with persistent asthma mandate the use of inhaled corticosteroids (ICS). While in the past there were only a limited number of ICS, now there are many preparations available, all coming in different strengths. Masoli and colleagues from New Zealand present the results of a systematic review of the efficacy of inhaled fluticasone proprionate, suggesting a dose-response relationship that plateaus between 100 and 200 µg per day. In an accompanying perspective, George Russell comments on two critical aspects of asthma management—adherence and titration to the lowest effective dose of ICS. Many questions remain. For example, at what dose of ICS should leukotriene receptor antagonists or long acting ß2 agonists be added to "spare" the steroid . . . [Full text of this article]


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This article has been cited by other articles:

  • (2005). Respiratory. Arch. Dis. Child. 90: A59-A63 [Full Text]  

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