Format

Send to

Choose Destination
J Allergy Clin Immunol. 2004 Feb;113(2):242-4.

Near-fatal asthma related to menstruation.

Author information

1
Sección de Neumología, Hospital de Sagunto, Valencia, Spain.

Abstract

BACKGROUND:

Menstruation has been suggested as a possible trigger of near-fatal asthma (NFA), but the evidence supporting this association remains weak.

OBJECTIVE:

We sought to assess the role of menstruation as a contributing factor in the development of NFA episodes in women of reproductive age.

METHODS:

Forty-four female patients of reproductive age with near-fatal attacks were enrolled in a multicenter study. Data on patient and clinical characteristics were collected. We also performed spirometric and allergy studies when the patients were in stable condition.

RESULTS:

Significantly more NFA episodes were observed on the first day of menstruation (11 [25%] patients) than on the remaining days (33 [75%] patients, P =.022), and patients who presented for care on the first day of menstruation used more inhaled salbutamol as rescue medication (9 [9.5] vs 1.8 [3.7] microg/d during the 7 days before the asthma exacerbation, P =.003).

CONCLUSION:

Menstruation might act as a contributing factor in the development of NFA episodes in patients with unstable asthma. Specific recommendations should be included in educational programs, and the self-management plans of asthmatic women of reproductive age should include the systematic recording of their asthma symptoms and pulmonary function in the perimenstrual phase.

PMID:
14767436
DOI:
10.1016/j.jaci.2003.11.002
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center