Case Report

Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis

Table 1

Comparison of clinical findings and tests between asthma, cough variant asthma, and eosinophilic bronchitis.

WheezingCoughBronchoprovocation testing (airway hyperresponsiveness)Eosinophils in sputumExhaled oral nitric oxideResponse to inhaled steroids

AsthmaCommon symptomMay be presentPositive methacholine challenge testSputum eosinophilia (3%)>30 parts/billionImproved symptoms
Cough variant asthmaAbsentAlways presentPositive methacholine challenge testSputum eosinophilia (3%)>30 parts/billionImproved symptoms
Eosinophilic bronchitisAbsentAlways presentNegative methacholine challenge testSputum eosinophilia (3%)>30 parts/billionImproved symptoms