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A Standardized versus an Individualized Approach in Managing Difficult Asthma: A Dilemma

The current case study presents a case of uncontrolled asthma. Spirometery forms one of the important parameters in assessing lung function assessment. Despite the normal values of spirometery, patient clinical presentation did not related to her spirometry values. After troubling four years, doctors initiated Anti-IgE monoclonal antibody therapy that resulted in the patient's improvement. Often, during clinical practices doctors face challenges where they have to make patient decisions based on their clinical expertise rather than following the standard protocols


Background: The adherence to clinical practice guidelines often aids in improving clinical decisions. However, doctors at times have to look beyond clinical practice guidelines to treat their patients. Situational awareness and clinical experience often put doctors in a better position to treat and manage asthmatic patients.

18 Mar, 2015
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e-Published: 12 Nov, 2015


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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