Triger (trigger) causes exacerbations of asthma due to
airway inflammation or acute bronchospasm or both. Triggers can be allergens, air pollution, respiratory infections, etc. Another factor that probably is rhinitis, bacterial sinusitis, etc. The mechanism of airflow limitation varies in accordance with the stimuli. The allergen will trigger bronkhokontriksi result of Ig-E release from mast cell dependent respiratory tract, including histamine, prostaglandins, leukotrienes that will happen smooth muscle contraction. The airflow limitation may also occur because of the respiratory tract of patients with asthma are very hyper responsive to a variety of stimuli.