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Sept 11, 1967

Status Asthmaticus and Steroid Therapy

JAMA. 1967;201(11):891. doi:10.1001/jama.1967.03130110117041

To the Editor:—  The informative article by Richards et al, "Status Asthmaticus in Children" (201:75, 1967), warrants some critical comments concerning steroid therapy for this disease.The authors state in a most positive manner that "corticosteroids should be promptly administered to all patients with status asthmaticus." This feeling is not held by all allergists or pediatric allergists, and it would be most unfortunate if "the other side of the coin" was not brought to the attention of your readers.In recent years, we have observed a large number of asthmatic children in private practice and in the pediatric allergy clinics of Bellevue Hospital, University Hospital, and St. Vincent's Hospital in New York and have noted a significantly greater morbidity and difficulty of management in the steroid-treated asthmatic child than in the child who has not had prior steroid therapy. Extensive personal experience prompts the necessity of alerting the pediatrician