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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.
A 26-year-old graduate student with an eight-year history of asthma has shortness of breath and cough an average of three times a week and nighttime wheezing about twice a month. He is an avid runner and wheezes routinely after exercise. Office spirometry shows that the forced expiratory volume in one second (FEV1) is 85 percent of the predicted value. What treatment
The Clinical Problem
Definition of Mild Asthma
Strategies and Evidence
Treatment of Mild Intermittent Asthma
Patient Education and Monitoring
2-Agonists
Treatment of Mild Persistent Asthma
Inhaled Corticosteroids
Nedocromil and Cromolyn Sodium
Agents That Modify the Leukotriene Pathway
Treatment of Asthma Induced by Cold Air and Exercise
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago.
Address reprint requests to Dr. Naureckas at the University of Chicago, Section of Pulmonary and Critical Care Medicine, 5841 S. Maryland MC 6076, Chicago, IL 60637, or at tnaureka@medicine.bsd.uchicago.edu.
References
This article has been cited by other articles:
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