PMID: 3964740Jan 1, 1985

Distinguishing among asthma, chronic bronchitis, and emphysema

Chest
G L Snider

Abstract

The history holds the central role in distinguishing among asthma, chronic bronchitis, and emphysema. A personal or family history of atopy, a history of seasonal worsening of disease in response to a known environmental agent, perhaps seasonal, and marked variability in the severity of airflow obstruction, often with dramatic responsiveness to bronchodilator drugs, strongly support the diagnosis of asthma. Exacerbation of wheezing by exposure to cold air or following the ingestion of a drug, and asthma variants, such as nocturnal cough responsive to bronchodilator agents or exercise-induced asthma, all support the diagnosis of asthma. Peripheral blood eosinophilia or sputum eosinophilia support the diagnosis of asthma providing other known causes of eosinophilia can be excluded. Positive skin tests are helpful in establishing the atopic state and indicating its possible etiology. An elevated serum IgE level supports the diagnosis of asthma; a normal one does not exclude it. Cigarette smoking is a common background factor in both chronic bronchitis and emphysema, and both diseases are infrequently observed in the absence of this history. Long-standing mucous hypersecretion preceding airflow obstruction suggests the presence of ...Continue Reading

References

Mar 1, 1978·Chest·P Forgacs
Apr 9, 1970·The New England Journal of Medicine·S Chodosh
Aug 1, 1966·The American Journal of Medicine·A J Woolcock, J Read
Jan 1, 1982·Annals of Internal Medicine·L A MendellaN R Anthonisen

Citations

Dec 18, 2007·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Antoine A RobbesomToin H van Kuppevelt
Nov 2, 2012·Journal of Occupational and Environmental Medicine·Punam PahwaSaskatchewan Rural Health Study Team
Mar 17, 2007·Inhalation Toxicology·Kimberly C Hodge-BellWillie J McKinney
Feb 3, 2009·La Presse médicale·Chantal Raherison
Nov 24, 2004·Journal of the American College of Surgeons·Celine BuckleyRobert W Thompson
Mar 1, 1992·Current Problems in Diagnostic Radiology·J R GalvinW Stanford
Oct 13, 2006·Journal of Magnetic Resonance·Alexander L SukstanskiiDmitriy A Yablonskiy
Apr 19, 2016·Disease-a-month : DM·Gautam Raju MehtaRachid Mohammed
Jan 24, 2012·Respiratory Physiology & Neurobiology·Fernanda F CruzPatricia R M Rocco
Oct 25, 2016·Frontiers in Physiology·Milena V OliveiraPatricia R M Rocco
May 21, 2013·Arteriosclerosis, Thrombosis, and Vascular Biology·Paul E Norman, John A Curci
May 20, 2008·Biomarkers : Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals·Sonia Mesia-VelaR Graham Barr
Jul 1, 2017·BMC Pulmonary Medicine·Punam PahwaFirst Nations Lung Health Project Research Team

Related Concepts

Choking
Asthma
Bronchitis
Differential Diagnosis
Medical History Taking
Physical Examinations and Diagnoses
Focal Emphysema
Respiratory Function Tests
Hypersensitivity Skin Testing
Radiography, Thoracic

Related Feeds

Atopic Dermatitis

Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

JAMA : the Journal of the American Medical Association
Michael C FioreTimothy B Baker
Archives of Internal Medicine
A V ProchazkaD Lofaso
© 2021 Meta ULC. All rights reserved