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Advances in Dermatology and Allergology 2, April/2021 349

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).

License (http://creativecommons.org/licenses/by-nc-sa/4.0/)

Letter to the Editor

Address for correspondence: Aydın Sarıhan, Department of Emergency Medicine, Manisa City Hospital, 45506 Sehsadeler, Manisa, Turkey, phone: +90 544 8877117, e-mail: aydinsarihan@yahoo.com

Received: 17.05.2019, accepted: 28.07.2019.

Comment to “Bronchial asthma control degree and the temperament structure according to the Eysenck model”

Serdar Kalemci1, Aydın Sarıhan2, Nihat Taşdemir3, Arife Zeybek4

1Department of Chest Diseases, Medical Park Gebze Hospital, Kocaeli, Turkey

2Department of Emergency Medicine, Manisa City Hospital, Manisa, Turkey

3Department of Radiology, Medical Park Gebze Hospital, Kocaeli, Turkey

4Department of Chest Surgery, School of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey

Adv Dermatol Allergol 2021; XXXVIII (2): 349 DOI: https://doi.org/10.5114/ada.2021.106219

We have read with great interest the article recently published by Witusik et al. entitled “Bronchial asthma control degree and the temperament structure according to the Eysenck model” [1].

In this study, we would like to point to some impor- tant issues. The authors of this study have suggested that the structure of temperament of a person with poor control of bronchial asthma can be characterized. The correct use of the inhaler drugs, the patient-physician co- operation and the patient compliance are crucial points in success of the asthma treatment. The controls ensure that the patient uses the inhaler drugs correctly. Inap- propriate use of the inhaler drugs is the most important reason for failure in asthma treatment[2].In this study, we did not see any information relevant to the evaluation of inhaler drugs use of the patients. Gastroesophageal reflux (GER) may provoke coughing and wheezing and also may increase the symptoms in patients. When com- pared with the general population, GER is three times more common in patients with asthma. Reflux should be considered even though there are no typical complaints

of reflux in patients with nocturnal symptoms and whose asthma is not under control [3]. The authors do not men- tion the presence of GER in the groups. In addition, preg- nancy may have an adverse impact on asthma control [4]. Did you apply any questionnaire about pregnancy?

Conflict of interest

The authors declare no conflict of interest.

References

1. Witusik A, Mokros Ł, Kuna P, Pietras T. Bronchial asthma control degree and the temperament structure according to the Eysenck model. Adv Dermatol Allergol 2020; 27: 559-65.

2. Usmani OS. Choosing the right inhaler for your asthma or COPD patient. Ther Clin Risk Manag 2019; 15: 461-72.

3. Diette GB, Krishnan JA, Dominici F, et al. Asthma in older patients: factors associated with hospitalization. Arch Intern Med 2002; 162: 1123-32.

4. Maselli DJ, Adams SG, Peters JI, Levine SM. Management of asthma during pregnancy. Ther Adv Respir Dis 2013; 7:

87-100.

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