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RE: FALLIRS ET AL: CHILDHOOD ASTHMA AND STEROID THERAPY

J. J. ROBBINS, MD
Am J Dis Child. 1963;106(1):116-117. doi:10.1001/archpedi.1963.02080050118020.
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ABSTRACT

To the Editor: Well planned and executed as was Falliers' and co-workers' study, "Childhood Asthma and Steroid Therapy," reported in the February issue of the Journal (vol 105:127, 1963), its conclusions contain a fundamental fallacy in logic. The relationship between growth arrest and severe bronchial asthma was well documented and established.

Since only the most severe and intractable cases were treated with steroids, it is therefore not logical to attribute the arrest in development to the drugs. This is especially so since in the footnote on page 132 the observation is made that the children in this category III continued to exhibit wheezing.

The authors themselves state in the text on page 135 that they have not yet separated the effect of the steroid therapy from the effect of the asthma itself on growth rates.

My own experience coincides more with the seemingly paradoxical observation, noted also on page 135,

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