Steroid therapy, once looked upon by many as a panacea for most allergic dis eases, is the basis for much recent pro fessional controversy. This group of Commentaries reflects the present on going re-evaluation of our knowledge concerning steroids in childhood asthma.
The first Commentary by Dr. Fontana —unsolicited—expresses extreme con servatism in the use of corticosteroids for asthma. With Dr. Fontana's permis sion, we asked two of our Editorial Con sultants to comment on his views. The second and third Commentaries by Drs. Lecks and McGeorge portray a less rigid approach, though with views which can hardly be termed liberal.
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References
1.
Siegel, Sheldon : ACTH and corticosteroids in the management of allergic disorders in children. J. Pediat.66: 9, 927, 1965.
2.
Kravis, Lillian and Lecks, Harold: Inhalation vs. oral steroid therapy in childhood asthma. Amer. J. Dis. Child.3: 343, 1965.
3.
Walsh. S.D. and Grant, W.B.: Corticosteroid in treatment of chronic asthma. Brit. Med. J.2: 796, 1966.
4.
Jacoby, N.M. : Steroid treatment of asthmatic children. Lancet1354, 1966.
5.
Adams, D.A., Gold, E.M., Gonick, H.C. and Maxwell. M.H.: Adrenocortical function during intermittent corticosteroid therapy . Ann. Int. Med.64: 542, 1966.
6.
Siegel, Sheppard : Current trends in bronchial asthma. N. Y. State J. Med.67: 921, 1967.
7.
Richards, W. and Patrick, J.R.: Deaths from asthma in children . Amer. J. Dis. Child.110: 23, 1965.
8.
Logan, J.B.: Asthma as a lethal disease. Amer. J. Dis. Child.110: 1, 1965.
9.
Vaughan, Warren T.: Practice of Allergy. St. Louis, C. V. Mosby Co., 1939.
10.
Harris, C.: The physician and the drug disputes. Science186: 717, 1964.
11.
Speizer, F.E. , Doll, R. and Heaf, P.: Observations on recent increase in mortality from asthma. Brit. Med. J1: 335, 1968.
12.
Maunsell, K. , Pearson, R.S.B. and Linvingstone , J.L.: Long-term corticosteroid treatment of asthma. Ibid. p. 661.
13.
Norman, A.P.: Steroid treatment in asthma. In Recent Advances in Pediatrics . Edited by Douglas Gairdner.London, Churchill, 1965 , 3rd ed., p. 294.
