The presence of a high prevalence of bronchial hyperresponsiveness and asthma-like symptoms in swimmers has been reported. But, attacks of asthma which is related to chlorinized water is rare. Chlorine, a strong oxidizing agent, is an important toxic gas that the swimmer can breath during swimming and a worker can exposed to chlorine while he or she was using water with chlorine at home. We describe a persistent increase in nonspecific bronchial hyperresponsiveness following chronic exposure to strong respiratory irritant with chlorinized water in two subjects with no past history of asthma or atopy. We conclude that airway hyperresponsiveness can develop or increase after chronic inhalation of high concentrations of irritants such as chlorinized water an indoor irritant factor and that these changes may be prolonged.
Chlorine, asthma, water chlorination