We reported a patient of status athmaticus complicated with severe subcutaneous emphysema. We guess if large dose of hydrocortisone was infured in first hospital day such a severe subcutaneous emphysema might not complicate. Steroids should not be withheld from a patient in status asthmaticus while waiting to see if the patient gets better without them. We recommended a total intravenous dose of 1000 mg of hydrocortisone in first 24 hours of status asthmaticus