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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


© Petrova et al; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.