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Leslie R. Coleman, MD; Monroe Coleman, MD
Stamford, Conn

JAMA. 1989;262(13):1773.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor. —

In his excellent summary of step care treatment for asthma, which is receiving much attention because of the increasing mortality of this disease, Dr Bone¹ begins by stating that if a history of allergies is present, environmental controls should be instituted. However, he does not state how pollen, molds, house dust mites, and a favorite pet, all of which are potent allergens capable of causing severe asthma in sensitive patients, can be eliminated.

Because of the pharmacologic advances in the treatment of asthma and the newer understanding of the pathophysiology, the allergic immunologic approach to this disease has become seriously neglected. This is not only true of some internists and most pulmonologists, but also of some allergists. A trial of immunotherapy is indicated in properly selected patients, who on the basis of history and skin testing are found to be allergic to environmental allergens that . . . [Full Text PDF of this Article]

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