Clinical analysis of asthma patients with wheezing despite normal ventilatory function / 천식및알레르기
Journal of Asthma, Allergy and Clinical Immunology
;
: 85-93, 2004.
Article
in Korean
| WPRIM
| ID: wpr-14983
ABSTRACT
BACKGROUND:
Wheezing is one of the characteristics of asthma, Intensity of wheezing is correlated with the severity of airway obstruction. However, some asthmatic patients may show wheezing despite normal ventilatory function.OBJECTIVE:
To determine the cause of wheezing in asthmatic patients with normal ventilatory function.METHODS:
Thirty-eight consecutive asthmatic patients with wheezing despite FEV1> or =80% of predicted value were retrospectively examined for clinical data.RESULTS:
Twenty-seven patients (71.1%) were women. Sixteen patients (42.1%) showed airway obstruction based on the Intermountain Thoracic Society criteria. Patients with airway obstruction had significantly lower FEF50% than did those without it (P1 suggesting upper airway obstruction was observed in 7 of 16 (43.8%) patients. Associated diseases were rhinitis in 21 (55.3%) patients, sinusitis in 18 (47.4%), and postnasal drip syndrome in 3 (7.9%).CONCLUSIONS:
Wheezing despite normal ventilatory function in asthma occurs more often in women. It may be related to reversible airway obstruction in nearly half patients and to upper airway obstruction such as rhinitis. in considerable numbers of the remaining patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiratory Function Tests
/
Asthma
/
Sinusitis
/
Respiratory Sounds
/
Rhinitis
/
Retrospective Studies
/
Airway Obstruction
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Asthma, Allergy and Clinical Immunology
Year:
2004
Type:
Article
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