Asthma in Adults

Abstract

The diagnosis and treatment of asthma account for the majority of allergy outpatient visits and virtually all inpatient referrals to the allergist. Both the overall prevalence of asthma in the United States and the mortality rate of the disease in certain sectors of the population are increasing. Although definitive contributors to this alarming rise in mortality have yet to be identified, some experts have implicated the increasing dependence on β agonists, the escalating levels of atmospheric pollutants, as well as the difficulties accessing appropriate health care facilities (especially in inner-city locales). A heightened awareness and thorough understanding of the disease by the primary care physician is essential in order to facilitate prompt diagnosis and early intervention. management of the asthmatic patient, prompt recognition of unusual clinical presentations or incomplete responses to treatment will allow for referral to the specialist before asthma becomes uncontrollable. The development of a close relationship with the asthmatic patient, and the recognition that he or she is an integral member of the team caring for the disease will lead to an improved outcome and higher quality of life.