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We appreciate the comments of Dr Weinberger; he raises an important question regarding the role of corticosteroids in the treatment of acute asthma exacerbation, especially in preschool-aged children. International guidelines1,2 recommend the use of oral corticosteroids in children with moderate-to-severe asthma exacerbations and those with mild exacerbations and incomplete response to bronchodilators. There is a strong evidence of their efficacy in reducing relapses, admissions, and the need for beta-agonist use, without an apparent increase in side effects, particularly in school-aged children and adolescents.

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