Author Affiliation: Dr Busse is Professor of Medicine and Head of Allergy and Clinical Immunology, University of Wisconsin Medical School, Madison.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR AUDET: Ms A is a 47-year-old African American
woman who has had asthma since childhood. She lives in Boston, receives public
assistance, and has insurance through Medicaid.
During the past year, Ms A has felt short of breath more frequently
than before, has experienced dyspnea with lower levels of exertion, and has
been waking up at night with shortness of breath. She has required albuterol
nebulizers as many as 4 times per night and increasing dosages of many medications.
She has not had any emergency department visits nor required hospitalization.
Busse WW. A 47-Year-Old Woman With Severe Asthma. JAMA. 2000;284(17):2225-2233. doi:10.1001/jama.284.17.2225