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| http://dx.doi.org/10.3399/bjgp17X690389 | DOI Listing |
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GOLD Science Committee recommendations for the use of pre- and post-bronchodilator spirometry for the diagnosis of COPD.
Eur Respir J
December 2024
University of Exeter Medical School, College of Medicine and Health, University of Exeter, Exeter Devon, UK.
The Global initiative for chronic Obstructive Lung Disease (GOLD) report states that the diagnosis of chronic obstructive pulmonary disease (COPD) should be considered in individuals with chronic respiratory symptoms and / or exposure to risk factors. Forced spirometry demonstrating airflow obstruction after bronchodilation is required to confirm the diagnosis using a threshold of forced expiratory volume in 1 s (FEV) / forced vital capacity (FVC) ratio<0.7.
View Article and Find Full Text PDFOverdiagnosing giant bullous emphysema as metastatic adenocarcinoma: a case report.
J Cardiothorac Surg
October 2024
Department of Pathology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Article Synopsis
- Giant bullous emphysema involves large air-filled spaces (bullae) that compress healthy lung tissue and may be misdiagnosed due to the appearance of certain lung cells.
- A 48-year-old male smoker presented with breathing issues; X-ray revealed a collapsed lung and CT showed both bullous emphysema and lung cancer, but initial tests incorrectly identified the reactive cells as cancer.
- The case highlights the importance of careful analysis and interpretation of lung cell characteristics to avoid misdiagnosis in patients with similar conditions.
Background: Dysfunction of the small airways is a precursor of COPD but is not detectable on standard spirometric testing until significant destruction has occurred. A proportion of COPD patients have a forced expiratory volume in 1 s (FEV)/forced vital capacity (FVC) <0.7 which is greater than the lower limit of normal (LLN), when adjusted for their age and sex.
View Article and Find Full Text PDF[Issues in the diagnosis and evaluation of pulmonary aspergillosis in patients with chronic obstructive pulmonary disease].
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Reply to Chen : Reexamining Chronic Obstructive Pulmonary Disease in Bronchiectasis: Elucidating Overdiagnosis and Outcomes from EMBARC's ROSE Criteria.
Am J Respir Crit Care Med
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Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca, Vall d'Hebron Barcelona Hospital Campus, Biomedical Research Centre, Barcelona, Spain; and.
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