Recurrent airway obstruction is characterized by more severe airway obstruction and marked airway neutrophilia, in comparison with the mild mixed airway inflammation usually present in IAD.29, 30 Neutrophilia predominates in the allergic disease process in horses partially because of IL‐4‐mediated release of neutrophilic chemotactic factors,31 and the severity of disease correlates to some extent with the severity of airway neutrophilia.32 Here, IL4 is linked to inflammatory response.