Refratory Asma – A Case Of Humoral Immunodeficiency

RFM, 9 years old, referred for allergy assessment due to frequent visits to the infantil hospital presents with a history of recurrent pneumonia, sinusitis and otitis. It has associated atopy and during follow-up evaluations in Allergy showed diagnosis of mild persistent asthma. We started prophylactic treatment with corticosteroid pulmonary action and beta 2 agonist of long duration. Although adequate management with quarterly visits to the allergy ambulatory, therapeutic adherence by family members, correct use of medications and understanding of the pathology in question, treatment refractoriness occurred. New reclassification of the level of mild persistent asthma.