It's no wonder people tend to pronounce "asthma" lazily. I think in a few decades it will be spelled "asma" in the Commonwealth and "azma" in the USA. In fact, "asma" seems to have been the Middle English way of spelling it. I wonder who added that silly "th" in there?
Mokalus of Borg
PS - The "sthm" sound is difficult to produce in any context.
PPS - Even "athsma" would be easier.
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