Psyllium husk (Metamucil®) induced perennial asthma: A case report
Metamucil®, a soluble fiber supplement for constipation, triggered new onset asthma symptoms in a 44-year-old sensitised nurse after a single inhaled exposure. After the initial event, she had no further exposures. She continued to face challenges with exacerbations, poor asthma control, and chronic...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Respiratory Medicine Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007124001333 |
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| author | A.S. Marwaha D. Cockcroft B. Philipenko |
| author_facet | A.S. Marwaha D. Cockcroft B. Philipenko |
| author_sort | A.S. Marwaha |
| collection | DOAJ |
| description | Metamucil®, a soluble fiber supplement for constipation, triggered new onset asthma symptoms in a 44-year-old sensitised nurse after a single inhaled exposure. After the initial event, she had no further exposures. She continued to face challenges with exacerbations, poor asthma control, and chronic cough. Despite 30 years of clinic follow-up, her asthma remained difficult to manage, requiring chronic prednisone. While tapering off corticosteroids, she developed polymyalgia rheumatica. This case underscores that psyllium in Metamucil® can cause reactions ranging from mild to severe, even with a single inhaled exposure, emphasising the need for caution in those without a history of asthma. |
| format | Article |
| id | doaj-art-1fd142e12da04417a6cd44881194a708 |
| institution | DOAJ |
| issn | 2213-0071 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-1fd142e12da04417a6cd44881194a7082025-08-20T02:49:53ZengElsevierRespiratory Medicine Case Reports2213-00712024-01-015210211010.1016/j.rmcr.2024.102110Psyllium husk (Metamucil®) induced perennial asthma: A case reportA.S. Marwaha0D. Cockcroft1B. Philipenko2Internal Medicine, University of Saskatchewan, Canada; Corresponding author.Division of Respirology, Critical Care and Sleep Medicine, Department of Medicine, University of Saskatchewan, CanadaDivision of Respirology, Critical Care and Sleep Medicine, Department of Medicine, University of Saskatchewan, CanadaMetamucil®, a soluble fiber supplement for constipation, triggered new onset asthma symptoms in a 44-year-old sensitised nurse after a single inhaled exposure. After the initial event, she had no further exposures. She continued to face challenges with exacerbations, poor asthma control, and chronic cough. Despite 30 years of clinic follow-up, her asthma remained difficult to manage, requiring chronic prednisone. While tapering off corticosteroids, she developed polymyalgia rheumatica. This case underscores that psyllium in Metamucil® can cause reactions ranging from mild to severe, even with a single inhaled exposure, emphasising the need for caution in those without a history of asthma.http://www.sciencedirect.com/science/article/pii/S2213007124001333Metamucil®Psyllium huskOccupational riskAllergySevere asthmaLong-term corticosteroids |
| spellingShingle | A.S. Marwaha D. Cockcroft B. Philipenko Psyllium husk (Metamucil®) induced perennial asthma: A case report Respiratory Medicine Case Reports Metamucil® Psyllium husk Occupational risk Allergy Severe asthma Long-term corticosteroids |
| title | Psyllium husk (Metamucil®) induced perennial asthma: A case report |
| title_full | Psyllium husk (Metamucil®) induced perennial asthma: A case report |
| title_fullStr | Psyllium husk (Metamucil®) induced perennial asthma: A case report |
| title_full_unstemmed | Psyllium husk (Metamucil®) induced perennial asthma: A case report |
| title_short | Psyllium husk (Metamucil®) induced perennial asthma: A case report |
| title_sort | psyllium husk metamucil r induced perennial asthma a case report |
| topic | Metamucil® Psyllium husk Occupational risk Allergy Severe asthma Long-term corticosteroids |
| url | http://www.sciencedirect.com/science/article/pii/S2213007124001333 |
| work_keys_str_mv | AT asmarwaha psylliumhuskmetamucilinducedperennialasthmaacasereport AT dcockcroft psylliumhuskmetamucilinducedperennialasthmaacasereport AT bphilipenko psylliumhuskmetamucilinducedperennialasthmaacasereport |