RESUMEN
Asthma is a chronic disease whose prevalence continues to increase. Obesity is a comorbidity makes it difficult to support and control of asthma. A retrospective study on 39 cases of obese asthmatics, whose body mass index [BMI] exceeds 30 kg/m2, followed by allergy consultation service between January 2007 and August 2009. 31 women and 8 men aged between 23 and 79 years [average age: 48.5 years]. Diabetes is associated in 2 cases, hypertension in 5 cases and a sicca syndrome in one case. The asthma was intermittent in 17 cases [43.5%], mild persistent in 7 cases [18%], moderate persistent in 11 cases [28.25%] and severe persistent in 4 cases [10.25%]. The gastro-esophageal reflux was found in 25%, an allergic rhinitis in 41% cases, conjunctivitis in 28% of cases, eczema in 7.6% cases, food allergy in 10% of cases especially Fish and drug in 0.7% cases intolerance to aspirin. A family atopy was noted in 10% of cases. The recommended treatment based on inhaled corticosteroids and beta 2 mimetiques long duration of action in 22 cases associated with xanthine in 4 cases, antihistamines and nasal corticosteroids in 16 cases and inhibitors of proton pump in 10 cases. Asthma is well controlled in 60% of cases, partially controlled in 30% of cases and uncontrolled in 10% of cases. The flow volume curve done in all our patients had obstructive ventilatory disorder objectified in 89.7% and mixed in 10.3%. The obstructive ventilatory disorder was mild in 60% of cases, moderate in 28.6% cases and severe in 11.4%. Obesity is a bad factor in controlling asthma and a multidisciplinary care must be taken to assure the best therapeutical approach