Article: Corticosteroids are not for all asthma patients: physicians need to be careful about greatly raising the dose when a patient fails to achieve control.(Clinical Rounds)

VAIL, COLO. -- The new concept in asthma management is that one size does not fit all.

Asthma is a heterogeneous entity, and it is increasingly recognized that most, but not all, asthma patients respond adequately to corticosteroid treatment, Dr. Carolyn M. Kercsmar said at a meeting sponsored by the American Academy of Pediatrics.

In fact, there have even been serious calls for abolishing the term "asthma" in favor of "complex wheezing disorders," to reflect this new understanding that asthma can be very different in different individuals, said Dr. Kercsmar, director of the children's asthma center at Rainbow Babies and Children's Hospital, Cleveland.

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