How common is it for an asthma attack to be the first sign of asthma?

In one emergency department in New York City that is supervised by a colleague of mine, approximately one-third of the children treated for acute asthma are not previously known to have had asthma and had never been treated for it. This could be because the child had never had a previous asthma attack, or such an attack went undiagnosed or was treated as a different type of medical disorder. Moreover, both patients and their family physicians tend to concentrate on short-term relief rather than ongoing disease control.

Regardless, there is a great amount of denial on the part of both patient and parents where asthma is concerned. They simply don't want to believe asthma is present, or that it is an ongoing condition in the absence of overt symptoms.

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