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Review
. 2022 Jul 7:10:930196.
doi: 10.3389/fped.2022.930196. eCollection 2022.

Frontiers Review: Severe Asthma in Adolescents

Sara Warraich  1 , Samatha Sonnappa  1
Affiliations
Review

Frontiers Review: Severe Asthma in Adolescents

Sara Warraich et al. Front Pediatr. .

Abstract

Asthma remains the most prevalent chronic respiratory disease of childhood. Severe asthma accounts for a minority group of patients but with substantial morbidity burden. It may reflect disease which is resistant to treatment or that which is difficult to treat, or a combination of both. The adolescent patient cohort denote a unique group and are the focus of this review. This group of patients embody transitioning priorities and evolving health beliefs, all of which may influence the management and burden of disease. Factors of importance include the influence of physiological parameters such as sex and race, which have confer implications for medical management and non-physiological factors, such as adherence, risk-taking behavior, and vaping. The holistic approach to management of severe asthma within this group of patients must acknowledge the evolving patient independence and desire for autonomy and strive for a collaborative, patient tailored approach. This review will focus on the factors that may pose a challenge to the management of severe adolescent asthma whilst offering suggestions for changes in practice that might harness patient priorities and shared clinical decision-making.

Keywords: collaborative working; holistic management; severe adolescent asthma; severe childhood asthma; transition.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Illustration of the interplay between factors of influence for the adolescent patient with severe asthma and collaborative working.
See this image and copyright information in PMC

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