The Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2013 (JAGL 2013) describeschildhood asthma after the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2012(JPGL 2012) by the Japanese Society of Pediatric Allergy and Clinical Immunology. JAGL 2013 provides informationon diagnosis by age group from infancy to puberty (0-15 years of age), treatment for acute exacerbations,long-term management by anti-inflammatory drugs, daily life guidance, and patient education to allownon-specialist physicians to refer to this guideline for routine medical treatment. JAGL differs from the GlobalInitiative for Asthma Guideline (GINA) in that JAGL emphasizes early diagnosis and intervention at <2 yearsand 2-5 years of age. A management method, including step-up or step-down of long-term management drugsbased on the status of asthma control levels, as in JAGL, is easy to understand, and thus the Guideline is suitableas a frame of reference for routine medical treatment. JAGL has also introduced treatment and managementusing a control test on children, recommending that the physician aim at complete control by avoiding exacerbationfactors and by appropriate use of anti-inflammatory drugs.
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