Skip to main content
  • Poster presentation
  • Open access
  • Published:

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


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.


Written informed consent was obtained from the patient for publication of this abstract and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.

Author information

Authors and Affiliations


Rights and permissions

Open Access  This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

To view a copy of this licence, visit

The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Petrova, G., Shopova, S., Miteva, D. et al. Severe asthma in adolescence - or how the low self-esteem obstacles the therapy. Clin Transl Allergy 5 (Suppl 2), P20 (2015).

Download citation

  • Published:

  • DOI: