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A 47-Year-Old Woman With Severe Asthma
William W. Busse, MD, Discussant
JAMA. 2000;284:2225-2233.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
DR AUDET: Ms A is a 47-year-old African American woman who has had asthma since childhood. She lives in Boston, receives public assistance, and has insurance through Medicaid.
During the past year, Ms A has felt short of breath more frequently than before, has experienced dyspnea with lower levels of exertion, and has been waking up at night with shortness of breath. She has required albuterol nebulizers as many as 4 times per night and increasing dosages of many medications. She has not had any emergency department visits nor required hospitalization.
Environmental factors have contributed to the severity of her symptoms. Her apartment is infested with mice and roaches, persisting even after professional extermination. House-dust mites, pollens, and molds have also been identified as triggers to her asthma. Perfume, strong odors (eg, bleach and ammonia), and smoke precipitate episodes of shortness of breath and cough. . . . [Full Text of this Article]
MS A: HER VIEW
DR G: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR BUSSE
The Changing Face of Asthma The Diagnosis of Asthma The Management of Asthma Complicating Factors in the Control of Asthma Education Socioeconomic Issues Recommendation for Ms A
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Busse is Professor of Medicine and Head of Allergy and Clinical Immunology, University of Wisconsin Medical School, Madison.
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