A case of uncontrolled bronchial asthma with generalized anxiety disorder
https://doi.org/10.53529/2500-1175-2025-4-74-83
Abstract
Introduction. Bronchial asthma (BA) is the most common chronic respiratory disease in children, exerting a significant impact on the quality of life of both the child and the family. The development of BA is influenced by both internal and external risk factors. Comorbidity remains a pressing issue in BA, frequently contributing to severe and uncontrolled disease courses. Currently, psychosomatic and psychopathological disorders in patients with severe manifestations of BA are being actively studied.
Presentation of the clinical case. We present a clinical case of uncontrolled BA in a 17‑year‑old adolescent hospitalized in the pediatric department. A comprehensive clinical and laboratory examination was performed, which confirmed the diagnosis, clarified the sensitization profile, allowed the development of elimination measures, and facilitated the selection of adequate controller therapy. Despite ongoing treatment and adherence on the part of the patient and his family, full control of BA could not be achieved. Given the patient’s complaints of sleep disturbances, difficulty falling asleep, shortness of breath associated with emotional stress, and pronounced vegetative symptoms, a psychiatric and psychotherapeutic consultation was deemed necessary. As a result of additional evaluation, a diagnosis of Generalized Anxiety Disorder was established, and antidepressant therapy was initiated, which led to significant clinical improvement and asthma control.
Conclusion. This clinical case illustrates the role of psycho‑emotional disorders as a factor contributing to the uncontrolled course of BA.
About the Authors
R. M. Fayzullina
Bashkir State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Rezeda Mansafovna Fayzullina — Dr. Sci., Professor of the Department of Faculty Pediatrics and Neonatology of Bashkir State Medical University of the Ministry of Health of Russia
3 Lenin Str., Ufa, 450008
N. V. Samigullina
Bashkir State Medical University of the Ministry of Health of the Russian Federation;
State Budgetary Institution of Healthcare of the Republic of Bashkortostan Clinical Emergency Hospital of Ufa
Россия
Россия
Natalia Vladimirovna Samigullina — Cand. Sci., Associate professor of the Department of Faculty Pediatrics and Neonatology of Bashkir State Medical University of the Ministry of Health of Russia
3 Lenin Str., Ufa, 450008
39/2 Batyrskaya Str., Ufa, 450092
V. V. Viktorov
Bashkir State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Vitaly Vasilyevich Viktorov — Doc. Sci., Professor, Head of the Department of Faculty Pediatrics and Neonatology of Bashkir State Medical University of the Ministry of Health of Russia
3 Lenin Str., Ufa, 450008
R. R. Gafurova
Bashkir State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Rita Rinatovna Gafurova — Cand. Sci., Associate professor of the Department of Faculty Pediatrics and Neonatology of Bashkir State Medical University of the Ministry of Health of Russia
3 Lenin Str., Ufa, 450008
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Review
For citations:
Fayzullina R.M., Samigullina N.V., Viktorov V.V., Gafurova R.R. A case of uncontrolled bronchial asthma with generalized anxiety disorder. Allergology and Immunology in Paediatrics. 2025;(4):74-83. (In Russ.) https://doi.org/10.53529/2500-1175-2025-4-74-83
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