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Recurrent symptoms following administration of ergonovineĪspirin-exacerbated respiratory disease, otherwise termed aspirin-induced asthma, is characterized by the presence of 3 features: asthma, respiratory symptoms that are exacerbated by aspirin or other NSAIDs, and nasal polyps.

Increased forced expiratory volume in 1 second/forced vital capacity ratio.

Which of the following additional findings is likely present in this patient? Pulmonary examination reveals mild bilateral-end expiratory wheezing. He does not use tobacco products or illicit substances. His medical history is otherwise unremarkable and he takes no other medications. In addition to his history of asthma, he reports having suffered a meniscus injury 5 months ago that he has been managing with over-the-counter pain relievers as needed and physical therapy. He denies fever, productive cough, nasal congestion, rhinorrhea, and chest pain. His current symptoms do not seem to be correlated to any specific activity or environmental exposure. He does have a history of childhood asthma, but prior to these latest episodes, he has had several years without symptoms and has not needed to use his albuterol inhaler. His current symptoms began 2 hours ago, but he reports similar episodes that have occurred intermittently for the last 4 months. Question 1: Aspirin-Induced AsthmaĪ 23-year-old man presents to an urgent care clinic for shortness of breath and wheezing.

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