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Brittle asthma, catastrophic sudden severe bronchial asthma management

What is Brittle asthma ?
It is an unusual variant of asthma in which patients are at risk from sudden death inspite of the fact that their asthma may be well controlled between attacks.
Such patients require:
• Emergency medications at home, in the car and at work.
• Oxygen source at home and at work.
• Nebulized B2 agonists at home and at work.
• Self injectable epinephrine at home, at work.
• Steroids.
• On developing wheeze, the patient should attend the nearest hospital, admission to intensive care may be required .
Brittle asthma, catastrophic sudden severe bronchial asthma

Q :  wheezy chest + haemoptysis ,, what is the DD ?

• Churg-strauss vasculitis
• Cardiac asthma (PVC)
• Allergic brochopulmonary aspergillosis
• Bronchiectasis
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Tamer Mobarak

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