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Læknablaðið - 15.02.2013, Blaðsíða 25

Læknablaðið - 15.02.2013, Blaðsíða 25
SJÚKRATILFELLI Heimildir 1. Lúðvíksdóttir D, Bjömsson RB. Leiðbeiningar um grein- ingu astma hjá íþróttafólki. Embætti landlæknis 2012. Iandlaeknir.is/utgefid-efni/skjal/iteml6547 - nóvember 2012. 2. Bougault V, Boulet LR Airway dysfunction in swimmers. Br J Sports Med 2012; 46:402-6. 3. Carlsen KH, Anderson SD, Bjermer L, Bonini S, Brusasco V, Canonica W, et al. Exercise-induced asthma, respiratory and allergic disorders in elite athletes: epidemiology, mechanisms and diagn osis: part I of the report from the Joint Task Force of the European Respiratory Society (ERS) and the European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA2LEN. Allergy 2008; 63: 387-403. 4. Fisk MZ, Steigerwald MD, Smoliga JM, Rundell KW. Asthma in swimmers: a review of the current literature. Phys Sportsmed 2010; 38: 28-34. 5. Páivinen MK, Keskinen KL, Tikkanen HO. Swimming and asthma: factors underlying respiratory symptoms in competitive swimmers. Clin Respir J 2010; 4:97-103. 6. Khan DA. Exercise-induced bronchoconstriction: burden and prevalence. Allergy Asthma Proc 2012; 33:1-6. 7. Castricum A, Holzer K, Brukner P, Irving L. The role of the bronchial provocation challenge tests in the diagnosis of exercise-induced bronchoconstriction in elite swimmers. Br J Sports Med 2010; 44: 736-40. 8. Pedersen L , Winther S, Backer V, Anderson SD, Larsen KR. Airway responses to eucapnic hyperpnea, exercise, and methacholine in elite swimmers. Med Sci Sports Exerc 2008; 40:1567 -72 . 9. Bougault V, Turmel J, Boulet LP. Bronchial challenges and respiratory symptoms in elite swimmers and winter sport athletes: Airway hyperresponsiveness in asthma: its measurement and clinical significance. Chest 2010; 138 (2 Suppl): 31S-37S. 10. Alþjóðalyfjareglur ÍSÍ. isi.is/pages/lyfjaeftirlitl/althjoda- lyfjareglumar/ - nóvember 2012. 11. Romberg K, Tufvesson E, Bjermer L. Asthma is more prevalent in elite swimming adolescents despite better mental and physical health. Scand J Med Sci Sports 2012; 22: 362-71. 12. Florentin A, Hautemaniére A, Hartemann P. Health effects of disinfection by-products in chlorinated swimming pools. Int J Hyg Environ Health 2011; 214:461-9. 13. Boulet LP. Cough and upper airway disorders in elite athletes: a critical review. Br J Sports Med 2012; 46:417-21. 14. Bougault V, Turmel J, St-Laurent J, Bertrand M, Boulet LP. Asthma, airway inflammation and epithelial damage in swimmers and cold-air athletes. Eur Respir J 2009; 33: 740- 6. 15. Silvestri M, Crimi E, Oliva S, Senarega D, Tosca MA, Rossi GA, et al. Pulmonary function and airway responsiveness in young competitive swimmers. Pediatr Pulmonol 2012; DOI: 10.1002/ppul.22542. ENGLISH SUMMARY Case report: Respiratory symptoms in a competitive swimmer Gudmundsson G 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. Key words: asthma, sports, diagnosis, swimming. Correspondence: Gunnar Guðmundsson, ggudmund@landspitali.is Landspitali, The National University Hospital oflceland. Faculty ofMedicine University oflceland LÆKNAblaðið 2013/99 85

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