Sir.—The article by Kravis and Kolski1 on unexpected death in childhood asthma is problematic for a variety of reasons. The fact that sudden death can occur in asthmatics, particularly in the ambulatory setting, appears to come as a surprise to the authors. This is clearly reflected in their choice of a title. In an effort to explain the 13 fatalities, a retrospective analysis of data was undertaken to identify potential risk factors. The authors readily identified a number of such factors and discussed them in some detail but con
BONFORTE RJ. Death in Asthma. Am J Dis Child. 1985;139(12):1180–1181. doi:10.1001/archpedi.1985.02140140014010
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