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Noncompliance and Prevarication in Life Threatening Adolescent Asthma

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Four cases of noncompliant steroid dependent adolescent asthmatics who intentionally lied about their compliance are presented. All four were followed in the Allergy Clinic at Northwestern Memorial Hospital. Each had psychosocial or family problems which contributed to deliberate failure to take necessary medications and then to lie about it. Frequent E.R. visits, missed school, and hospitalizations for life threatening asthma attacks were seen in these patients. Changes in personal patient patterns of asthma, lack of predicted response to adequate therapeutic regimens, and obvious lack of proper parental supervision were the clues to the correct diagnosis. Undetectable serum prednisolone levels confirmed the diagnosis in one case. We describe the clinical course of these patients including confrontation about noncompliance and therapeutic regimens that have resulted in control of their asthma.
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Document Type: Research Article

Publication date: July 1, 1986

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma and by having the potential to directly impact the quality of patient care. AAP welcomes the submission of original works including peer-reviewed original research and clinical trial results. Additionally, as the official journal of the Eastern Allergy Conference (EAC), AAP will publish content from EAC poster sessions as well as review articles derived from EAC lectures.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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