London 2012 Olympics

What can we learn from asthma in elite athletes?

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2556 (Published 24 April 2012)
Cite this as: BMJ 2012;344:e2556

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Two points deserve to be mentioned that are often understated in literature, especially given the experience of our reference centre for paediatric asthma in a north-eastern region of Italy.

One is vocal chord dysfunction, characterized by a short crisis of dyspnea, often interpreted and treated as asthma because, usually, these crises follow physical exercise. It is considered to be a conversion disease and no pharmacological treatment is available.

The other is the extremely good response to treatment for asthma, making it a substantially non-life-threatening disease if two conditions are fulfilled: drugs being inhaled properly and a patient-tailored prescription.

Competing interests: None declared

giovanna ventura, Paediatric SHO

Institute for Maternal and Child Health - IRCCS “Burlo Garofolo” – Trieste, University of Trieste, Italy, via dell'Istra 65/1, 34137 Trieste, Italy

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I see that in the penultimate paragraph the author asserts that asthma is not a life-threatening condition. She writes, "Because it is not life threatening, people tend just to modify their behaviour accordingly."

I believe this article falls short of the BMJ's normally rigorous peer-review process. The author has obviously not encountered any patients with severe asthma requiring critical care admission.

Competing interests: None declared

Danny Jon Nian Wong, CT2 Anaesthetics

St Peter's Hospital, Guildford Rd, Chertsey, Surrey KT16 0PZ

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does it say at the end that asthma isn't life threatening?

Competing interests: None declared

philip t white, gp

kingsclere medical practice, north st, kingsclere rg20 5qx

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