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  • Poster presentation
  • Open Access

Severe asthma in adolescence - or how the low self-esteem obstacles the therapy

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Clinical and Translational Allergy20155 (Suppl 2) :P20

  • Published:


  • Public Health
  • Asthma
  • Informed Consent
  • Corticosteroid
  • Chronic Disease


Adolescent with any chronic disease face rebellious stage of puberty aggravated with the condition they have usually requiring strict food and behavioral regimen. Sometimes during this period a seemingly “well-controlled” asthma turns out to be “uncontrolled” despite the increase in therapy and thus classifying it as a severe asthma as defined as ERS/ATS guidelines.

Clinical case

We present a case of 17-year old girl with bronchial asthma, hospitalized in the clinic multiple times, despite high dose of combined corticosteroids as a controller medication. The child starts to show protest behavior towards therapy, that’s modifying in the course of psychological maturation – denial of the medicines, unhealthy and hazardous life styles. At the age of 16-years depression was diagnosed, and was pharmacological and psychological therapy. This case is presented with aim to show specific for most of the asthmatic patients’ negative self-estimation for their quality of life and how it requires complex theurapetical approach.


A modern team-work approach with respiratory/allergy specialist and psychology/psychiatry specialist sometimes is the best way to manage teenagers with difficult to treat asthma.


Authors’ Affiliations

UH "Alexandrovska", Pediatric clinic, Sofia, Bulgaria