Case 29

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI:

Series: Oxford Case Histories

Case 29

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A 17-year-old adolescent was referred for optimization of exercise-induced asthma control. His complaints were of exercise-induced dyspnoea, cough, wheeze and choking episodes during competitive sport, particularly rugby. On three occasions his symptoms were so severe that an ambulance was called. The patient reported that the crew had said he was very wheezy and oxygen relieved his symptoms, but he was not admitted to hospital. Symptoms were unrelieved by inhaled salbutamol taken before and after exercise. He had no nocturnal symptoms, and other daytime activities were not restricted. He had been diagnosed with asthma by his GP 6 months previously, and at the time of review was taking combined salmeterol and fluticasone at a dose of 250µg fluticasone, two puffs twice daily. This had failed to control his symptoms. Examination was normal.

Chapter.  1138 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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