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The Symptomatic Treatment of Asthma

The Symptomatic Treatment of Asthma Abstract The symptomatic or drug treatment of uncomplicated asthma has become fairly well standardized1-6 and requires knowledge of only about 8 or 10 drugs. In approximately one-third of the asthmatic cases infection is present, and in these the judicious use of antibiotics and other measures is required. These infections are usually secondary invaders on a host made susceptible by allergic edema, and only rarely does a bacterial sensitivity exist. Some of these patients with recurrent asthma due to infection will profit by use of gamma globulin every three to four weeks. Very rarely in the child with the resistant or chronic case or less rarely the case of status asthmaticus may need one of the adrenal steroids to tide them through a severe attack. But all of this does not relieve the physician of the obligation of giving the patient the benefit of a very careful and detailed "work up." References 1. Glaser, J.: Allergy in Childhood , Springfield, Ill., Charles C Thomas, Publisher, 1956. 2. Dees, S. C.: Some Practical Aspects of Allergy , J. Pediat. 37:685 ( (Nov.) ) 1950.Crossref 3. Feinberg, S. M., and Feinberg, A. R.: Useful Drugs in Treatment of Allergy , Illinois M. J. 108:5 ( (July) ) 1955. 4. Burrage, W. S., and Irwin, J. W.: Symposium on Specific Methods of Treatment: The Treatment of Bronchial Asthma , M. Clin. North America 26:1269 ( (Sept.) ) 1952. 5. Ratner, B.: Allergy in Relation to Pediatrics , Panel Discussion by T. N. Harris and others, St. Paul, Minn., Bruce Publishing Company, 1951. 6. Criep, L. H.: The Bedside Management of Bronchial Asthma , M. Clin. North America 37: 1009 ( (July) ) 1953. 7. Benson, R. L., and Perlman, F.: Clinical Effects of Epinephrine by Inhalation: Survey , J. Allergy 19:129 ( (March) ) 1948.Crossref 8. Bruton, O. C.: Agammaglobulinemia , Pediatrics 9:722 ( (June) ) 1952. 9. Bernton, H. S.: The Control of Asthmatic Bronchitis with Gamma Globülin, Paper read at the Meeting of the American Academy of Allergy, St. Louis, Feb. 4, 1956. 10. Bowen, R.: The Use of Gamma Globulin in Asthma in Children, Paper presented by H. S. Bernton at the Meeting of the American Academy of Allergy, St. Louis, Feb. 4, 1956. 11. Gitlin, D.: Low Resistance to Infections: Relationship to Abnormalities in Gamma Globulin , Bull. New York Acad. Med. 31:359 ( (May) ) 1955. 12. Hsia, D. Y.; Lonsway, M., Jr., and Gellis, S. S.: Gamma Globulin in Prevention of Infectious Hepatitis: Studies on the Use of Small Doses in Family Outbreaks , New England J. Med. 250: 417 ( (March 11) ) 1954.Crossref 13. Waldbott, G. L.: Bronchoscopic Therapy in Allergic Asthma , J. Allergy 20:335 ( (Sept.) ) 1949.Crossref 14. Arbesman, C. E., and Ehrenreich, R. J.: Meticorten and 9 Alpha Fluorohydrocortisone in Treatment of Allergic Disorders , J. Allergy 26: 189 ( (May) ) 1955.Crossref 15. Siegel, S. C.; Birnberg, V., and Kelley, V. C.: Prednisone in the Treatment of Allergic Disorders in Children: Observations of Plasma 17-Hydroxycorticosteroid Levels , A. M. A. J. Dis. Child. 91:454 ( (May) ) 1956.Crossref 16. Janeway, C. A., and Eley, C., Department of Pediatrics, Harvard Medical School, Boston, personal communication to the author. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

The Symptomatic Treatment of Asthma

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1957.02060040248008
Publisher site
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Abstract

Abstract The symptomatic or drug treatment of uncomplicated asthma has become fairly well standardized1-6 and requires knowledge of only about 8 or 10 drugs. In approximately one-third of the asthmatic cases infection is present, and in these the judicious use of antibiotics and other measures is required. These infections are usually secondary invaders on a host made susceptible by allergic edema, and only rarely does a bacterial sensitivity exist. Some of these patients with recurrent asthma due to infection will profit by use of gamma globulin every three to four weeks. Very rarely in the child with the resistant or chronic case or less rarely the case of status asthmaticus may need one of the adrenal steroids to tide them through a severe attack. But all of this does not relieve the physician of the obligation of giving the patient the benefit of a very careful and detailed "work up." References 1. Glaser, J.: Allergy in Childhood , Springfield, Ill., Charles C Thomas, Publisher, 1956. 2. Dees, S. C.: Some Practical Aspects of Allergy , J. Pediat. 37:685 ( (Nov.) ) 1950.Crossref 3. Feinberg, S. M., and Feinberg, A. R.: Useful Drugs in Treatment of Allergy , Illinois M. J. 108:5 ( (July) ) 1955. 4. Burrage, W. S., and Irwin, J. W.: Symposium on Specific Methods of Treatment: The Treatment of Bronchial Asthma , M. Clin. North America 26:1269 ( (Sept.) ) 1952. 5. Ratner, B.: Allergy in Relation to Pediatrics , Panel Discussion by T. N. Harris and others, St. Paul, Minn., Bruce Publishing Company, 1951. 6. Criep, L. H.: The Bedside Management of Bronchial Asthma , M. Clin. North America 37: 1009 ( (July) ) 1953. 7. Benson, R. L., and Perlman, F.: Clinical Effects of Epinephrine by Inhalation: Survey , J. Allergy 19:129 ( (March) ) 1948.Crossref 8. Bruton, O. C.: Agammaglobulinemia , Pediatrics 9:722 ( (June) ) 1952. 9. Bernton, H. S.: The Control of Asthmatic Bronchitis with Gamma Globülin, Paper read at the Meeting of the American Academy of Allergy, St. Louis, Feb. 4, 1956. 10. Bowen, R.: The Use of Gamma Globulin in Asthma in Children, Paper presented by H. S. Bernton at the Meeting of the American Academy of Allergy, St. Louis, Feb. 4, 1956. 11. Gitlin, D.: Low Resistance to Infections: Relationship to Abnormalities in Gamma Globulin , Bull. New York Acad. Med. 31:359 ( (May) ) 1955. 12. Hsia, D. Y.; Lonsway, M., Jr., and Gellis, S. S.: Gamma Globulin in Prevention of Infectious Hepatitis: Studies on the Use of Small Doses in Family Outbreaks , New England J. Med. 250: 417 ( (March 11) ) 1954.Crossref 13. Waldbott, G. L.: Bronchoscopic Therapy in Allergic Asthma , J. Allergy 20:335 ( (Sept.) ) 1949.Crossref 14. Arbesman, C. E., and Ehrenreich, R. J.: Meticorten and 9 Alpha Fluorohydrocortisone in Treatment of Allergic Disorders , J. Allergy 26: 189 ( (May) ) 1955.Crossref 15. Siegel, S. C.; Birnberg, V., and Kelley, V. C.: Prednisone in the Treatment of Allergic Disorders in Children: Observations of Plasma 17-Hydroxycorticosteroid Levels , A. M. A. J. Dis. Child. 91:454 ( (May) ) 1956.Crossref 16. Janeway, C. A., and Eley, C., Department of Pediatrics, Harvard Medical School, Boston, personal communication to the author.

Journal

A.M.A. Journal of Diseases of Children – American Medical Association

Published: Mar 1, 1957

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