[Occurrence of early and late asthmatic reaction after provocation with antigen and the status of pulmonary ventilation in patients with hay fever after the pollination season].
Pulmonary ventilation and asthmatic reaction under laboratory conditions have been investigated in 23 patients with allergic rhinitis hypersensitive to grass pollen. Pulmonary ventilation has been assessed with the aid of VCin, FVC, FEV1, FEV1/VCin, PEF, MEF50, and MTT. Asthmatic reaction has been produced by an inhalation of allergens mixture with dose-response technique. An early reaction has been diagnosed, when FEV1 decreased by at least 20% or MEF50 by 30% within 10 minutes, and late reaction when the same parameters decreased after 6 or 24 hours. An early asthmatic reaction has been noted in 2 patients (8.7%), late--in 4 patients (17.4%), and double (both early and late) reaction in 2 patients (8.7%). Pulmonary ventilation has been normal in all examined patients, except two of them with peripheral airways obstruction (MEF50 less than 70% of the normal value). Results suggest, that asthmatic reaction may be provoked in the laboratory in patients with pollinosis and normal pulmonary ventilation after pollen season. Such a reaction may also be expected during a natural exposition to pollens.
Dziedziczko
A
A
Katedry i Kliniki Alergologii i Chorób Wewnetrznych AM, Bydgoszczy.
Gniazdowski
R
R
D000293:Adolescent; D000328:Adult; D000485:Allergens / Q000008:administration & dosage / Q000276:immunology*; D000941:Antigens / Q000008:administration & dosage / Q000276:immunology; D001249:Asthma / Q000175:diagnosis / Q000209:etiology*; D001980:Bronchi / Q000276:immunology*; D001985:Bronchial Provocation Tests / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006109:Poaceae / Q000276:immunology; D012119:Respiration / Q000502:physiology; D006255:Rhinitis, Allergic, Seasonal / Q000276:immunology* / Q000503:physiopathology; D013997:Time Factors
D000485:Allergens; D000941:Antigens
Wystepowanie reakcji astmatycznej wczesnej i późnej po prowokacji antygenowej i stan wentylacji płuc u chorych na pyłkowice poza sezonem pylenia.