title: [Case report: respiratory symptoms in a competitive swimmer].
abstract: A young competitive swimmer consulted a physician because of respiratory symptoms. He was found to have a normal spirometry. Bronchial asthma was diagnosed based on bronchial challenge test and appropriate treatment started. An overview is given on the rules of the National Sports Association on the treatment of asthma, which asthma medications are banned and how to apply for an exemption. Diagnostic studies for asthma are reviewed. In addition to spirometry before and after bronchodilatation, bronchial challenge tests and exercise tests are used. An overview of pathophysiology of swimmer's asthma is given and how it is connected to chloride that is used as a disinfectant. The incidence of asthma among competitive swimmers is reviewed.
authors.affiliation: Lseknadeild Háskóla Íslands. ggudmund@landspitali.is
authors.forename: Gunnar
authors.initials: G
authors.lastname: Gudmundsson
mesh_terms: D000293:Adolescent; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001250:Asthma, Exercise-Induced / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D001985:Bronchial Provocation Tests; D002712:Chlorides / Q000009:adverse effects; D004202:Disinfectants / Q000009:adverse effects; D004300:Doping in Sports; D005541:Forced Expiratory Volume; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D005082:Physical Exertion; D011237:Predictive Value of Tests; D012307:Risk Factors; D013147:Spirometry; D013550:Swimming; D014797:Vital Capacity
chemical_list: D018927:Anti-Asthmatic Agents; D002712:Chlorides; D004202:Disinfectants