Copyright ©ERS Journals Ltd 2003 From the Authors1 Dept of Lung Medicine, Örebro University Hospital, Örebro, and 2 The Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden From the authors: The letter from R. Varraso, MP Oryszczyn and F.Kauffmann pays attention to important issues. First, the increased sensitivity of asthmatics to different airway triggers. With this in mind, one gains valuable insights into how asthma can affect quality of life, and how activities, like exercising and contacts with furred pets, for most people pleasant, can be triggers of breathlessness. Such symptoms were considerably more prevalent among asthmatics in Estonia compared to the general population (not reported) and similar to the data of another FinEsS (Finland, Estonia and Sweden) study conducted in Örebro, Sweden 1. This study shows roughly 24 times higher prevalence of such "trigger-induced" airway symptoms among asthmatics. The study also showed, in a general population, that females more frequently reported cough, wheezing and shortness of breath following exposure to a variety of lower airway irritants, including tobacco smoke (no questions concerning nasal symptoms were included). Finally we certainly agree that considering the capacity of such airway symptoms to affect quality of life, there is deficiency of knowledge, and more studies focusing on sex differences in airway behaviour are needed. References
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