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Editorials |

Blow Dry Your Asthma

Arn H. Eliasson, COL, MC, USA, FCCP
Author and Funding Information

Affiliations: Washington, DC 
 ,  Chief of the Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center.

Correspondence to: COL Arn H. Eliasson, MC, USA, FCCP, US Army, Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307-5001



Chest. 1999;115(3):608-609. doi:10.1378/chest.115.3.608
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Extract

In this issue of CHEST, (see page 649) Mannix and colleagues report their findings from bronchoprovocation testing in a group of competitive figure skaters. This report raises issues that deserve further comment.

First, the study illustrates important difficulties with bronchoprovocation testing. The authors identified 16 of 29 skaters (55%) who could be provoked by either on-ice exercise or eucapnic voluntary hyperventilation (EVH).1 Only five of those with a positive response were provoked by both tests, and one skater with known asthma failed to be provoked by either test. Furthermore, EVH was shown to be a more potent stimulus of bronchospasm than on-ice exercise. This finding raises the question of what to do about those skaters who respond to EVH but who do not respond with pulmonary function test (PFT) changes to the stimulus of immediate importance, their skating routine. It would be improper to label these skaters as having exercise-induced asthma or to treat these asymptomatic skaters. How can this disparate information be interpreted?


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