Susceptibility to voice reactions during a histamine provocation test
was studied in 21 asthmatics and 21 healthy subjects. Speech samples w
ere recorded before, and 5 and 15 min after histamine inhalation, and
the samples were rated by six speech pathologists. Deterioration of vo
ice quality occurred in 2/12 asthmatic men and in 3/9 asthmatic women
within 5 min after histamine inhalation; no change was observed betwee
n 5 and 15 min. Voice reactions were not related to the degree of bron
chial obstruction: the subjects with the most pronounced decrease in p
eak expiratory now (PEF) (60-61% in three subjects) did not develop vo
ice reactions, and PEF did not decrease in one subject with voice reac
tions. No voice reactions were observed in the healthy subjects.