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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 38-Year-Old Woman With Dyspnea and Wheezing Following Exercise Despite Asthma Therapy*

Matthew A. Rank, MD; Gerald W. Volcheck, MD
Author and Funding Information

*From the Division of Allergic Diseases, Mayo Clinic, Rochester, MN.

Correspondence to: Matthew A. Rank, MD, Division of Allergic Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55905; e-mail: rank.matthew@mayo.edu



Chest. 2007;132(1):351-353. doi:10.1378/chest.06-2500
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A 38-year-old woman presented with progressive worsening of dyspnea, upper chest tightness, and wheezing (inspiratory and expiratory) over the previous 18 months. These episodes occurred with exercise, lasted 3 to 5 min, and resolved without intervention. The symptoms never occurred at night or awakened her from sleep. She had previously been treated with β-agonists without improvement. She denied gastroesophageal reflux, rhinitis, or sinusitis symptoms. She denied a history of atopy, smoking, and could identify no triggers for her dyspnea other than exercise. A physical examination was unremarkable. Flexible fiberoptic rhinolaryngoscopy revealed a normal nasopharynx, a normal hypopharynx/larynx, and normal vocal cord movement.

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