ABSTRACT
A 65-year-old woman presents with history of lifelong asthma and allergies for evaluation of increased respiratory symptoms. She has never smoked. She is allergic to dogs, but owns multiple dogs and is active in dog shows throughout the region. Her medications include: fluticasone/salmeterol 250 mcg/50 mcg, one inhalation, once daily; montelukast, 10 mg daily; and tiotropium, one inhalation, once daily. She has been on omalizumab for the past 5 years in an attempt to reduce asthma exacerbations and because of documented elevated IgE. This treatment regime has resulted in improved asthma control.
