When a patient presents with symptoms of severe asthma, it is important to investigate the possible causes of his or her symptoms. These may be other diseases, allergies, or lack of treatment compliance by the patient. If treatment is inadequate despite such intensive investigation and therapy, additional measures such as appropriate rehabilitation or specific medication are needed. In the opinion of the authors, severe asthma requires physicians with relevant experience and intensive treatment; sometimes the required treatment has not yet been authorized. Because of this, they say, severe asthma is not always adequately diagnosed or treated. They therefore recommend that patients present to specialized facilities so that they have the opportunity to participate in clinical trials.
Source: Deutsches Aerzteblatt International
Full bibliographic information:
Lommatzsch M, Virchow JC: Severe asthma: definition, diagnosis and treatment. Dtsch Arztebl Int 2014; 111: 847–55