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While recurrent episodes are likely EIB, EILO, or asthma, one-off episodes are inherently curious in their sudden and seemingly unpredictable occurrence.
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This case came to light as a part of my work on the clinical governance board for Blenheim, http://chrisalix.com/ a charity providing support to drug and alcohol users, but I believe the learning points are highly relevant for GPs with or without special interests in substance misuse.
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