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Medication challenge tests, such as the methacholine challenge test, have a lower sensitivity for detection of exercise-induced bronchoconstriction in athletes and are also not a recommended first-line approach in the evaluation of exercise-induced asthma. [13] Mannitol inhalation [14] [15] has been recently approved for use in the United States.
Exercise-induced asthma, technically called exercise-induced bronchoconstriction, or EIB, can make working out feel downright painful, if not altogether impossible. A narrowing of the airways that ...
More generally termed exercise-induced asthma, the preferred and more accurate term exercise-induced bronchoconstriction better reflects underlying pathophysiology.It is also preferred due to the former term giving the false impression that asthma is caused by exercise.
Exercise can trigger bronchoconstriction both in people with or without asthma. [116] It occurs in most people with asthma and up to 20% of people without asthma. [116] Exercise-induced bronchoconstriction is common in professional athletes. The highest rates are among cyclists (up to 45%), swimmers, and cross-country skiers. [117]
Exercise-induced asthma is common in asthmatics, especially after participation in outdoor activities in cold weather. Occupational asthma – an estimated 2% to 5% of all asthma episodes may be caused by exposure to a specific sensitizing agent in the workplace.
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Sensitizer-induced occupational asthma is an immunologic form of asthma which occurs due to inhalation of specific substances (i.e., high-molecular-weight proteins from plants and animal origins, or low-molecular-weight agents that include chemicals, metals and wood dusts) and occurs after a latency period of several weeks to years.
Image of aspirin which can be a trigger for asthma in some patients. Aspirin induced asthma, or aspirin-exacerbated respiratory disease, refers to situations where the use of aspirin worsen the asthma conditions. [34] Other non-steroidal anti-inflammatory drugs (NSAIDs) that inhibits the enzyme, cyclooxygenase-1, may also lead to an asthma attack.