... addressed. When patients presentwith atypical symptoms or do not respond prop-erly to medications, functional symptoms should be suspected. Psychiatric analysis may help deter-mine this. In patients ... extremely unsta-ble, may be related to a lack of perception ofsymptoms and disease severity, may involveunidentified triggers, and therefore may respondonly to individualized therapy.35Patients ... example, has been shown to improve symptoms of asthma and airway hyper-responsiveness.22Identifying and managing upperrespiratory inflammation is therefore important,especially in the group...