Controversies in the treatment of mild asthma. What novelties and practical implications?

Pediatr Allergy Immunol. 2022 Jan;33 Suppl 27(Suppl 27):11-14. doi: 10.1111/pai.13618.

Abstract

Mild asthma is prevalent in childhood and causes as many as 30%-40% asthma exacerbations requiring emergency visits. The management of "intermittent" and "mild persistent" asthma phenotypes is still a matter of debate, even if the role of inhaled corticosteroids, both continuous and intermittent, is a cornerstone in this field. Recent updates of the guidelines on the strategies to manage these patients are coming, since the role of inflammation in these asthma phenotypes is crucial, as well as the potential side effect and risks of short-acting beta 2 agonists overuse, prescribed as the only "as-needed" treatments. In this paper, we overview the new (r)evolution regarding intermittent and mild persistent asthma management.

Keywords: GINA; asthma control; asthma severity; children; inhaled corticosteroids.

Publication types

  • Review

MeSH terms

  • Administration, Inhalation
  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Asthmatic Agents* / therapeutic use
  • Asthma* / drug therapy
  • Humans

Substances

  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents