{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:47:46Z","timestamp":1777855666628,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>\n                    Spirometry-induced bronchoconstriction (SIB) refers to the paradoxical narrowing of the airways triggered by deep inhalation (DI) during spirometry testing. This response is atypical but can occur in subjects with heightened airway sensitivity, such as those with asthma. The present case report described a male patient who developed SBI in response to DI during spirometric maneuvers. A 34-year-old male patient with personal (i.e., rhinitis) and family allergy consulted our pulmonary department for recurrent wheezing dyspnea associated with exertional dyspnea level 2 according to the modified Medical Research Council dyspnea scale. Asthma diagnosis was suspected and a spirometry test was required. During five consecutive spirometric efforts, the patient developed a SIB with forced expiratory volume in one second (FEV\n                    <jats:sub>1<\/jats:sub>\n                    ) decreases (in mL and % of initial value [%\n                    <jats:sub>Initial<\/jats:sub>\n                    ]) of 50\u2009mL (1%\n                    <jats:sub>Initial<\/jats:sub>\n                    ), 270\u2009mL (8%\n                    <jats:sub>Initial<\/jats:sub>\n                    ), 480\u2009mL (14%\n                    <jats:sub>Initial<\/jats:sub>\n                    ), and 600\u2009mL (18%\n                    <jats:sub>Initial<\/jats:sub>\n                    ), respectively. Following the spirometry tests, the patient presented symptoms such as wheezing, shortness of breath, and chest tightness. The bronchodilator test (i.e., 400\u2009\u00b5g of short-acting bronchodilator) was clinically significant with an increase of FEV\n                    <jats:sub>1<\/jats:sub>\n                    by 1,260\u2009mL (40%\n                    <jats:sub>Predicted<\/jats:sub>\n                    ) (FEV\n                    <jats:sub>1<\/jats:sub>\n                    passed from 2.80 L [65%\n                    <jats:sub>Predicted<\/jats:sub>\n                    ] to 4.06 L [95%\n                    <jats:sub>Predicted<\/jats:sub>\n                    ]). An alleviation of symptoms was noted, which supports the diagnosis of SIB. Clinicians should exercise caution when asking asthmatic patients to repeatedly perform DI for spirometry testing.\n                  <\/jats:p>","DOI":"10.1177\/15579883251339559","type":"journal-article","created":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:42:49Z","timestamp":1748133769000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bronchoconstriction Induced by Spirometric Maneuvers in a Male Patient: A Case Report"],"prefix":"10.1177","volume":"19","author":[{"given":"Asma","family":"Knaz","sequence":"first","affiliation":[{"name":"Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia"},{"name":"Research Laboratory \u201cHeart Lung Interaction (LR14ES05),\u201d University of Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariem","family":"Abdesalem","sequence":"additional","affiliation":[{"name":"University of Sousse, Faculty of Medicine of Sousse, Farhat HACHED Hospital, Heart Failure (LR12SP09) Research Laboratory, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baraa","family":"Ben Bdira","sequence":"additional","affiliation":[{"name":"Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asma","family":"Omrane","sequence":"additional","affiliation":[{"name":"Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7850-5631","authenticated-orcid":false,"given":"Ahmed","family":"Abdelghani","sequence":"additional","affiliation":[{"name":"Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia"},{"name":"Research Laboratory \u201cHeart Lung Interaction (LR14ES05),\u201d University of Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7477-2965","authenticated-orcid":false,"given":"Helmi","family":"Ben Saad","sequence":"additional","affiliation":[{"name":"University of Sousse, Faculty of Medicine of Sousse, Farhat HACHED Hospital, Heart Failure (LR12SP09) Research Laboratory, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Allen N. 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