Bronchial reactivity to methacholine in HIV-infected individuals without AIDS

Chest. 1993 Mar;103(3):796-9. doi: 10.1378/chest.103.3.796.

Abstract

To evaluate bronchial reactivity to methacholine in human immunodeficiency virus (HIV) infection, we submitted 25 HIV-seropositive subjects without full-blown AIDS and 25 HIV-seronegative subjects, all inmates in a drug rehabilitation center for previous intravenous drug abuse, to interview and to bronchial challenge with methacholine. Four (16 percent) HIV-seropositve and three (12 percent) HIV-seronegative subjects noted bronchospastic symptoms. Baseline FEV1 and MEF50 percent were within the normal range in every patient. Bronchial hyperreactivity to methacholine (PD20FEV1 < 1,400 micrograms) was found in two (8 percent) HIV-seropositive and in four (16 percent) HIV-seronegative subjects, with no significant difference in the frequency between the two groups. We conclude that HIV infection without AIDS in intravenous drug users does not appear to be associated with an increased frequency of bronchospastic disorders and to bronchial hyperreactivity to methacholine.

Publication types

  • Comparative Study

MeSH terms

  • Acquired Immunodeficiency Syndrome / physiopathology*
  • Adult
  • Bronchi / drug effects*
  • Bronchi / physiopathology
  • Bronchial Hyperreactivity / diagnosis
  • Bronchial Hyperreactivity / epidemiology
  • Bronchial Hyperreactivity / physiopathology
  • Bronchial Provocation Tests / methods
  • Bronchial Provocation Tests / statistics & numerical data
  • Chi-Square Distribution
  • Female
  • Forced Expiratory Volume / drug effects
  • HIV Infections / physiopathology*
  • HIV Seropositivity / physiopathology
  • HIV-1*
  • Humans
  • Male
  • Methacholine Chloride* / administration & dosage
  • Smoking / physiopathology
  • Substance Abuse, Intravenous / physiopathology

Substances

  • Methacholine Chloride