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By A. Bush, K-H. Carlsen, M.S. Zach

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Extra resources for Growing up with lung disease: the lung in transition to adult life

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One potential outcome of dehydration stress is exudation of bulk plasma to restore the airway surface liquid. If the smooth muscle is repeatedly exposed to plasma products that have the potential to alter its contractile properties, then it is likely to become more sensitive to circulating mediators, such as leukotrienes and prostaglandins. In a winter athlete, this could lead to nonspecific BHR and in an atopic athlete the smooth muscle could become passively sensitised and develop BHR to allergens.

N Engl J Med 1998; 339: 147– 152. O’Sullivan S, Roquet A, Dahle´n B, Dahle´n S-E, Kumlin M. Urinary excretion of inflammatory mediators during allergen-induced early and late phase asthmatic reactions. Clin Exp Allergy 1998; 228: 1332–1339. Finnerty JP, Holgate ST. Evidence for the roles of histamine and prostaglandins as mediators in exercise-induced asthma: the inhibitory effect of terfenadine and flurbiprofen alone and in combination. Eur Respir J 1990; 3: 540–547. Shimizu T, Mochizuki H, Shigeta M, Morikawa A.

Katelaris CH, Carrozzi FM, Burke TV, Byth K. A springtime olympics demands special consideration for allergic athletes. J Allergy Clin Immunol 2000; 106: 260–266. Helenius IJ, Tikkanen HO, Sarna S, Haahtela T. Asthma and increased bronchial responsiveness in elite athletes: atopy and sport event as risk factors. J Allergy Clin Immunol 1998; 101: 646–652. Sue-Chu M, Larsson L, Bjermer L. Prevalence of asthma in young cross-country skiers in central Scandinavia: differences between Norway and Sweden.

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