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Darga, LL; Eason, LA; Zach, DM; Polgar, G.
Cold air provocation of airway hyperreactivity in patients with cystic fibrosis.
Pediatr Pulmonol. 1986; 2(2):82-88 Doi: 10.1002/ppul.1950020205
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Co-authors Med Uni Graz
Zach Maximilian
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Abstract:
Thirty-four patients with cystic fibrosis (CF) were assessed for baseline pulmonary functions before, and 5 and 15 minutes after cold air challenge (CACh). Most of the patients had no change in forced expiratory volume in 1 second (FEV1) and maximum expiratory flow at 25% vital capacity (Vmax25%VC) post-CACh. Five patients responded with reduced FEV1 and 13 with reduced Vmax25%VC. However, paradoxical increases were noted in 10 patients for FEV1 and in 5 for Vmax25%VC. Paradoxical responses were most frequent in patients with severe lung disease. The explanation for this variability may lie in the varying degrees of airway instability and volume of airway contribution (VAC) to early flows, resulting from the damage caused by chronic infection. Conventional challenges may be useless in determining the true incidence of bronchial hyperreactivity in patients with CF.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Air -
Bronchi - physiopathology
Child - physiopathology
Cold - diagnostic use
Cystic Fibrosis - physiopathology
Female - physiopathology
Forced Expiratory Flow Rates - physiopathology
Forced Expiratory Volume - physiopathology
Humans - physiopathology
Male - physiopathology
Maximal Midexpiratory Flow Rate - physiopathology
Respiratory Function Tests - physiopathology

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