Allergen‐induced increase in non‐allergic bronchial reactivity

DW Cockcroft, RE Ruffin, J Dolovich… - Clinical & …, 1977 - Wiley Online Library
DW Cockcroft, RE Ruffin, J Dolovich, FE Hargreave
Clinical & Experimental Allergy, 1977Wiley Online Library
Non‐allergic bronchial hyper‐reactivity is a feature of most patients with asthma. We have
measured non‐allergic bronchial reactivity to inhaled histamine and methacholine in
thirteen asthmatic subjects before and after allergen inhalation in the laboratory. The
allergen inhalation produced mild early asthmatic responses (19–40% FEV1 fall) in all
thirteen, additional definite late asthmatic responses (17–29% FEV1 fall) in four, and
equivocal late asthmatic responses (5–11% FEV1 fall) in five. Following allergen inhalation …
Summary
Non‐allergic bronchial hyper‐reactivity is a feature of most patients with asthma. We have measured non‐allergic bronchial reactivity to inhaled histamine and methacholine in thirteen asthmatic subjects before and after allergen inhalation in the laboratory. The allergen inhalation produced mild early asthmatic responses (19–40% FEV1 fall) in all thirteen, additional definite late asthmatic responses (17–29% FEV1 fall) in four, and equivocal late asthmatic responses (5–11% FEV1 fall) in five. Following allergen inhalation, non‐allergic bronchial reactivity increased in seven for up to 7 days. The seven included all four with definite late asthmatic responses and three of the five with equivocal late asthmatic responses. We conclude that allergens make asthma worse, partly through non‐allergic mechanisms, and that avoidance of allergens is important in reducing non‐allergic bronchial hyper‐reactivity.
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