Reproducibility of the late asthmatic response. 1986

A Bundgaard, and L Boudet

The reproducibility of the late asthmatic response after bronchial challenge with cladosporium herbarum was studied in five adult asthmatics. Four bronchial challenges were done in randomized order with an interval of one week. The four challenges were: cladosporium herbarum, cladosporium herbarum, histamine and saline. The bronchial challenges were done double-blind. Up to four inhalations of the substance were given on one day. Cladosporium herbarum was inhaled in concentrations of 1:100000, 1:10000, 1:1000 and up to 1:100 w/v. Histamine was inhaled at concentrations of 0.3, 0.6, 1.2 and up to 2.4 mg/ml. The provocation was stopped if FEV1 dropped greater than 20% up to 10 min after the inhalation, or after the four inhalations. Ventilatory capacity was measured with one h intervals up to six h after the last inhalation. One patient with positive skin test to cladosporium herbarum had no late asthmatic reaction after inhaling a dose of antigen which gave an early asthmatic response. One patient with positive skin test and early asthmatic response after inhalation of cladosporium presented late asthmatic response after one provocation, but this response was not reproducible. None of the two patients with negative skin test had late asthmatic response after inhalation of the antigen, nor had they late asthmatic response after inhalation of saline or histamine. One patient with negative skin test and no early asthmatic response to inhaled cladosporium, showed reproducible late asthmatic response after antigen inhalation. This patient also presented late asthmatic response after saline inhalation, but not after histamine inhalation. It is concluded that late asthmatic response should be defined better than of fall from baseline greater than 20%.

UI MeSH Term Description Entries
D001985 Bronchial Provocation Tests Tests involving inhalation of allergens (nebulized or in dust form), nebulized pharmacologically active solutions (e.g., histamine, methacholine), or control solutions, followed by assessment of respiratory function. These tests are used in the diagnosis of asthma. Allergen Bronchial Provocation Tests,Allergen Challenge, Endobronchial,Antigen Bronchial Provocation Tests,Bronchial Allergen Challenge,Bronchial Challenge Tests,Inhalation Provocation Tests,Provocation Tests, Bronchial,Endobronchial Challenge Tests,Allergen Challenge, Bronchial,Allergen Challenges, Bronchial,Allergen Challenges, Endobronchial,Bronchial Allergen Challenges,Bronchial Challenge Test,Bronchial Provocation Test,Challenge Test, Bronchial,Challenge Test, Endobronchial,Challenge Tests, Bronchial,Challenge Tests, Endobronchial,Challenge, Bronchial Allergen,Challenge, Endobronchial Allergen,Challenges, Bronchial Allergen,Challenges, Endobronchial Allergen,Endobronchial Allergen Challenge,Endobronchial Allergen Challenges,Endobronchial Challenge Test,Inhalation Provocation Test,Provocation Test, Bronchial,Provocation Test, Inhalation,Provocation Tests, Inhalation,Test, Bronchial Challenge,Test, Bronchial Provocation,Test, Endobronchial Challenge,Test, Inhalation Provocation,Tests, Bronchial Challenge,Tests, Bronchial Provocation,Tests, Endobronchial Challenge,Tests, Inhalation Provocation
D002963 Cladosporium A mitosporic Loculoascomycetes fungal genus including some economically important plant parasites. Teleomorphs include Mycosphaerella and Venturia. Cladosporiums
D004311 Double-Blind Method A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment. Double-Masked Study,Double-Blind Study,Double-Masked Method,Double Blind Method,Double Blind Study,Double Masked Method,Double Masked Study,Double-Blind Methods,Double-Blind Studies,Double-Masked Methods,Double-Masked Studies,Method, Double-Blind,Method, Double-Masked,Methods, Double-Blind,Methods, Double-Masked,Studies, Double-Blind,Studies, Double-Masked,Study, Double-Blind,Study, Double-Masked
D006632 Histamine An amine derived by enzymatic decarboxylation of HISTIDINE. It is a powerful stimulant of gastric secretion, a constrictor of bronchial smooth muscle, a vasodilator, and also a centrally acting neurotransmitter. Ceplene,Histamine Dihydrochloride,Histamine Hydrochloride,Peremin
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000485 Allergens Antigen-type substances that produce immediate hypersensitivity (HYPERSENSITIVITY, IMMEDIATE). Allergen
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas
D012882 Skin Tests Epicutaneous or intradermal application of a sensitizer for demonstration of either delayed or immediate hypersensitivity. Used in diagnosis of hypersensitivity or as a test for cellular immunity. Skin Test,Test, Skin,Tests, Skin

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