The Bayesian analysis was used in this study to investigate the diagnostic value of the bronchial provocation test with methacholine in patients with asthma. The best cutoff value of accumulated concentration of methacholine administered that caused a 20 percent fall in FEV1 post-saline (PC20) in our sample, determined with a receiver operator characteristic curve, was 15 mg/ml. The interval se...

The effects of long-term use and of cleaning on the output of 30 specimens of DeVilbiss 646 nebulizers were investigated in order to assess their influence on outcome and interpretation of inhalation provocation tests. Output was assessed in a standardized manner based on weight loss on four occasions one year apart. Output was highly reproducible (intraclass correlation greater than or equal t...

A 34-year-old chemical manufacturing worker had new onset of work-related asthma after several years of exposure to the fungicide, captafol. On specific bronchial challenge testing, he demonstrated a marked and persistent fall in FEV1. Cessation of exposure resulted in improved symptoms and pulmonary function. The delay in symptoms after several years of workplace exposure and the dual reaction...

It has been reported that provocation test with the use of inhalant allergens is the most reliable method for confirming the causal allergens in bronchial asthmat ·5l. However, reports on the studies on the significance of molds in childhood bronchial asthma using the inhalation provocation test are few even in Europe and America. Since 1964, the authors have been conduct­ ing skin tests and in...

Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most common causes of adverse drug reactions. Majority of them are of the hypersensitivity type. The two frequent clinical presentations of aspirin hypersensitivity are: aspirin-induced bronchial asthma/rhinosinusitis (AIA/R) and aspirin-induced urticaria/angioedema (AIU). The decisive diagnosis is based on provocatio...

the relationship between mycoplasma pneumoniae (mp) infection and asthma has rarely been explored through examination of airway reactivity. the aim of this study was to determine airway reactivity changes after mp infection in children. first, 106 children were divided into four groups according to the existence of mp infection and/or asthma. then children with only mp belonged to the mp group;...

PURPOSE OF REVIEW To review bronchial provocations tests used in the measurement of bronchial hyperresponsiveness to help in the diagnosis of asthma. RECENT FINDINGS The bronchial provocations tests reviewed include exercise, methacholine, AMP and mannitol, with reference to methodology and monitoring of treatment. SUMMARY Methacholine is used for identifying bronchial hyperresponsiveness a...

BACKGROUND Bronchial challenge tests are used to evaluate bronchial responsiveness in diagnosis and follow-up of asthmatic patients. Challenge induced cough has increasingly been recognized as a valuable diagnostic tool. Various stimuli and protocols have been employed. The aim of this study was to compare cough and dyspnea intensity induced by different stimuli. METHODS Twenty asthmatic pati...

Oral challenge with acetylsalicylic acid was compared with inhalation of Lysine acetylsalicylic acid (L-ASA) as a means to diagnose aspirin-idiosyncrasy in the airways. On the basis of history and/or clinical findings (asthma, rhinorrhea, nasal polyposis) 22 consecutive patients were challenged by both routes. Ten of these developed significant bronchoconstriction (greater than or equal to 20% ...