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Skin-prick testing was positive in 72%, average IgE was 376 IU/ml. Eosinophil counts were ≥300/ml in 42% and ≥400/ml in 25%. ACT less then 20 was strongly related to recurrent heartburn. Formal education was related to ACT ≥ 20 (p = 0.045) and perception of good asthma control the previous month (p less then 0.001). Eosinophil count, recurrent heartburn, total IgE, and recurrent rhinitis were interrelated.Conclusions Among severe asthmatics, good drug compliance, low use of relievers and low rates of exacerbations do not necessarily refl