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Clinical Reviews in Allergy & Immunology

, Volume 29, Issue 2, pp 113–123 | Cite as

Making the diagnosis of asthma in the athlete

  • Chris RandolphEmail author
Article

Abstract

This article encompasses a discussion of the clinical presentation and features as various diagnostic modalites of bronchoprovocation and differential diagnosis used in screening for asthma in the athlete. A comparative analysis of these modalities, including questionnaire, treadmill, eucapneic hyperventilation, as well as field challenge, is provided with sensitivities and specificities, predictive value, and application to clinical practice. The indication and mechanics of each diagnostic modality is discussed, providing the clinician with a comprehensive understanding of the principles and procedures used to diagnosis asthma in the athlete.

Index Entries

Athlete diagnosis asthma exercise brochoprovocation 

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References

  1. 1.
    Rundell, K. W. and Jenkinson, D. M. (2002), Sports Med. 32(9), 583–600.PubMedCrossRefGoogle Scholar
  2. 2.
    Holzer, K. and Brukner, P. (2004), Clin. J. Sports Med. 14(3), 134–137.CrossRefGoogle Scholar
  3. 3.
    Eggleston, P. (1984), J. Allergy Clin. Immunol. 73, 666–669.PubMedCrossRefGoogle Scholar
  4. 4.
    Rundell, K. W., Anderson, S. D., and Spiering, B. A. (2004), Chest 125(3), 909–915.PubMedCrossRefGoogle Scholar
  5. 5.
    Voy, R.O. (1984), Med. Sci. Sports Exerc. 18, 328–330.Google Scholar
  6. 6.
    Weiler, J. M. and Ryan, E. J. (2000), J. Allergy Clin. Immunol. 106, 267–271.PubMedCrossRefGoogle Scholar
  7. 7.
    Weiler, J. M., Layton, T., and Hunt, M. (1998), J. Allergy Clin. 102, 722–726.CrossRefGoogle Scholar
  8. 8.
    Larsson, L., Hemmingsson, P., and Boethius, G. (1994), Scand. J. Med. Sci. Sports; 4, 124–127.CrossRefGoogle Scholar
  9. 9.
    Randolph, C., Randolph, M., and Fraser, B. (1991), J. Allergy Clin. Immunol. 87, 341.CrossRefGoogle Scholar
  10. 10.
    Rupp, N. T., Guill, M. F., and Brudho, D. S. (1992), Am. J. Dis. Child 146, 941–944.PubMedGoogle Scholar
  11. 11.
    Kawabori, I., Pierson, W. E., Conquest, L. I., et al. (1976), J. Allergy Clin. Immunol. 58, 447–455.PubMedCrossRefGoogle Scholar
  12. 12.
    Rundell, K. W., Spierling, B. A., Evans, T. M., et al. (2004), Med. Sci. Sports Exerc. 36(3), 405–410.PubMedCrossRefGoogle Scholar
  13. 13.
    Heir, T. and Oseid, S. (1994), Scand. J. Med. Sci. Sports 4, 128–133.CrossRefGoogle Scholar
  14. 14.
    Rundell, K. W., Im, J., Mayers, L. B., et al. (2001), Med. Sci. Sports Exerc. 33, 208–213.PubMedGoogle Scholar
  15. 15.
    Langdeau, J. B. and Boulet, L. P. (2003), Resp. Med. 97, 109–114.CrossRefGoogle Scholar
  16. 16.
    Storms, W. W. (2003),; Med. Sci. Sports Exerc. 35(9), 1464–1470.PubMedCrossRefGoogle Scholar
  17. 17.
    Thole, R. T., Sallis, R. E., and Rubin, A. L. (2001), Med. Sci. Sports Exerc. 33, 1641–1646PubMedCrossRefGoogle Scholar
  18. 18.
    Wein, L., Sabath, R., Ewing, L., et al. (1992), Pediatrics 90(3), 350–353.Google Scholar
  19. 19.
    Rupp, N. (1996), Physician Sports Med. 24, 77–87.Google Scholar
  20. 20.
    Hammerman S. I., Becker, J. M., Rogers, J., et al. (2002), Ann. Allergy Asthma Immunol. 88(4), 380–384.PubMedGoogle Scholar
  21. 21.
    Rice, S. G., Bierman, C. W., Shapiro, G., et al. (1985), Ann. Allergy 55, 790–793.PubMedGoogle Scholar
  22. 22.
    Holzer, K., Anderson, S. D., and Douglass, J. (2002), J. Allergy Clin. Immunol. 110, 374–380PubMedCrossRefGoogle Scholar
  23. 23.
    Weiler, J. M., Metzger, J. W., Donnelly, A. L., et al. (1986), Chest 90, 23–28.PubMedCrossRefGoogle Scholar
  24. 24.
    Randolph, C. (1998), Ann. Allergy Asthma Immunol. 81, 275a-275g.PubMedGoogle Scholar
  25. 25.
    Randolph, C., Fraser, B., and Matasavage, C. (1997), Allergy Asthma. Proc. 18, 311,312CrossRefGoogle Scholar
  26. 26.
    Ogston, J. and Butcher, J. D. (2002), Clin. J. Sport Med. 12, 291–295PubMedCrossRefGoogle Scholar
  27. 27.
    Gruchalla, R. S., Gan, V., Roy, L., et al. (2003), Ann. Allergy Asthma Immunol. 90(5), 491–499PubMedGoogle Scholar
  28. 28.
    Randolph, C. C., Dreyfus, D., Fraser, B., et al. (2004), J. Allergy Clin. Immunol. Abstract 682A, S196Google Scholar
  29. 29.
    Randolph, C. C., Dreyfus, D., Fraser, B., et al. (2005), J. Allergy Clin. Immunol. Poster#609Google Scholar
  30. 30.
    Fonseca-Guedes, C., Cabral, A., and Martins, M. (2003), Pediatr. Pulmonol. 36, 49–54PubMedCrossRefGoogle Scholar
  31. 31.
    El-Halawani, S. M., Ly, N. T., and Mahon, R. T. (2003), Chest 124, 639–643.CrossRefGoogle Scholar
  32. 32.
    Anderson, S. D. and Brannan, J. D. (2003), Clin. Rev. Allergy Immunol. 24, 27–54.PubMedCrossRefGoogle Scholar
  33. 33.
    Anderson, S. D., Rodwell, L. T., Du, T. J., et al. (1991), Chest 100, 1254–1260.PubMedCrossRefGoogle Scholar
  34. 34.
    Crapo, R. O., Casaburi, R., Coates, A. L., et al. (2000), Am. J. Respir. Crit. Care Med. 161, 309–329.PubMedGoogle Scholar
  35. 35.
    International Olympic Medical Commission. Available at: http://ww.olympic.org. Last Accessed March 2002.Google Scholar
  36. 36.
    Brannan, J. D., Anderson, S. D., Koskela, H., et al. (1998), Am. J. Respir. Crit. Care Med. 158, 1120–1126.PubMedGoogle Scholar
  37. 37.
    Rodwell, L. T., Anderson, S. D., du Toit, J., et al. (1993), Eur. Respir. J. 6, 855–861.PubMedGoogle Scholar
  38. 38.
    Argyros, G. J., Roach, J. M., Hurwitz, K. M., et al. (1995), Chest 108, 419–424.PubMedGoogle Scholar
  39. 39.
    Hurwitz, K. M., Argyros, G. J., Roach, J. M., Eliasson, A. H., and Phillips Y. Y. (1995), Chest 108, 1240–1245.PubMedGoogle Scholar
  40. 40.
    Anderson, S. D. (1996), J. Aerosol Med. 9, 95–109PubMedCrossRefGoogle Scholar
  41. 41.
    Smith, C. M. and Anderson, S. D. (1990), Eur. Respir. J. 3, 144–151.PubMedGoogle Scholar
  42. 42.
    Belcher, N. G. and Anderson, S. D. (1989), Eur. Respir. J. 2, 44–48PubMedGoogle Scholar
  43. 43.
    Anderson, S. D., Brannan, H., Spring, J., et al. (1997), Am. J. Respir. Crit. Care Med. 156, 758–765PubMedGoogle Scholar
  44. 44.
    Holzer, K., Anderson, S. D., Chan, H. K., et al. (2003), Am. J. Respir. Crit. Care Med. 167, 534–537.PubMedCrossRefGoogle Scholar
  45. 45.
    Feinstein, R. A., Hains, C. S., Hemstreet, M. P., et al. (1999), Allergy Asthma Proc. 20, 181–188.PubMedCrossRefGoogle Scholar
  46. 46.
    Rundell, K. W., Wilber, L., and Szmedra, D. (1999), Med. Sci. Sports Exerc. 32, 309–316.Google Scholar
  47. 47.
    Anderson, S. D., Argyros, G. J., Magnussen, H., et al. (2001),; Br. J. Sports Med. 35, 344–347PubMedCrossRefGoogle Scholar
  48. 48.
    Eliasson, A. H., Phillips, Y. Y., Rajogopal, K. R., et al. (1992), Chest 102, 347–355.PubMedCrossRefGoogle Scholar
  49. 49.
    Storms, W. W. (2005), Immunol. Allergy Clin. North Am. 25, 31–43.PubMedCrossRefGoogle Scholar
  50. 50.
    Tilles, S. A. (2003), Curr. Reports Allergy Asthma 3(6), 467–472.CrossRefGoogle Scholar
  51. 51.
    McFadden, E. R. and Zawadski, D. K. (1996), Am. J. Resp. Crit. Care Med. 153, 942–947.PubMedGoogle Scholar
  52. 52.
    Gimenez, L. M., Zacharisen, M. C., and Nordness, M. E. (2003), Ann. Allergy Asthma Immunol. 91(2), 141–147.PubMedCrossRefGoogle Scholar
  53. 53.
    Rundell, K. W. and Spiering, B. A. (2003), Chest 123, 468–474.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  1. 1.Department of NeurologyLoyola University Medical CenterMaywood

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