Document Detail


Diagnostic and therapeutic value of airway challenges in asthma.
MedLine Citation:
PMID:  19348726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Airway challenges are of value in the assessment of asthma. Direct challenges (histamine and methacholine) are highly sensitive for clinically current symptomatic asthma and particularly useful to exclude current asthma when they are negative. Indirect challenges (exercise, eucapnic voluntary hyperventilation, adenosine monophosphate, hypertonic saline, mannitol) are more specific but very insensitive for clinical asthma. They are of particular value to confirm asthma and to differentiate asthma from other airway diseases, such as chronic airflow limitation. The indirect stimuli are the challenges of choice for evaluating exercise-induced bronchoconstriction.
Authors:
Donald W Cockcroft; Beth E Davis
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current allergy and asthma reports     Volume:  9     ISSN:  1534-6315     ISO Abbreviation:  Curr Allergy Asthma Rep     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-07     Completed Date:  2009-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101096440     Medline TA:  Curr Allergy Asthma Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-53     Citation Subset:  IM    
Affiliation:
Division of Respirology, Critical Care, and Sleep Medicine, Royal University Hospital, 103 Hospital Drive, Ellis Hall, 5th Floor, Saskatoon, Saskatchewan S7N0W8, Canada. don.cockcroft@usask.ca
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MeSH Terms
Descriptor/Qualifier:
Adenosine Monophosphate / diagnostic use
Asthma / diagnosis*,  physiopathology,  therapy*
Bronchi / physiopathology
Bronchial Hyperreactivity / physiopathology*
Bronchial Provocation Tests
Bronchoconstrictor Agents / diagnostic use*
Humans
Mannitol / diagnostic use
Methacholine Chloride / diagnostic use*
Saline Solution, Hypertonic / diagnostic use
Chemical
Reg. No./Substance:
0/Bronchoconstrictor Agents; 0/Saline Solution, Hypertonic; 61-19-8/Adenosine Monophosphate; 62-51-1/Methacholine Chloride; 69-65-8/Mannitol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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