RT Journal
A1 Coleman LR, Coleman M
T1 IMmunotherapy and asthma
JF JAMA
JO JAMA
YR 1989
FD October 6
VO 262
IS 13
SP 1773
OP 1773
DO 10.1001/jama.1989.03430130046023
UL http://dx.doi.org/10.1001/jama.1989.03430130046023
AB To the Editor. — 
    In his excellent summary of step care treatment for asthma, which is receiving much attention because of the increasing mortality of this disease, Dr Bone1 begins by stating that if a history of allergies is present, environmental controls should be instituted. However, he does not state how pollen, molds, house dust mites, and a favorite pet, all of which are potent allergens capable of causing severe asthma in sensitive patients, can be eliminated.Because of the pharmacologic advances in the treatment of asthma and the newer understanding of the pathophysiology, the allergic immunologic approach to this disease has become seriously neglected. This is not only true of some internists and most pulmonologists, but also of some allergists. A trial of immunotherapy is indicated in properly selected patients, who on the basis of history and skin testing are found to be allergic to environmental allergens that