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High BMP7 Expression May Worsen Airway Disease in COPD by Altering Epithelial Cell Behavior.

Int J Chron Obstruct Pulmon Dis

January 2025

Department of Obstetrics and Gynecology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People's Republic of China.

Purpose: Airway disease is the main pathological basis of chronic obstructive pulmonary disease (COPD), but the underlying mechanisms are unknown. Bone morphogenetic protein-7 (BMP7) is a multi-functional growth factor that belongs to the transforming growth factor superfamily, which affects the regulation of proliferation, differentiation, and apoptosis. Previous research has shown that BMP7 is highly expressed in the airway epithelia of patients with COPD, but its role in airway disease has not been fully elucidated.

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Article Synopsis
  • - A 65-year-old man presented with severe symptoms like fever, chest pain, and hemoptysis, which led doctors to initially suspect pulmonary thromboembolism or pneumonia.
  • - After further testing, he was diagnosed with acute necrotizing granulomatous bronchitis, pointing to endobronchial tuberculosis (TB), highlighting the need to consider TB in patients with ongoing respiratory issues.
  • - Treatment involves starting multidrug antitubercular therapy, monitoring the patient closely, implementing infection control, and educating him about the illness, which is crucial for better health outcomes and managing TB effectively.
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[Chemical pneumonia caused by inhalation of waterproofing spray: a case report].

Zhonghua Jie He He Hu Xi Za Zhi

November 2024

Department of Pulmonary and Critical Care Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Science, Beijing 100730, China.

Article Synopsis
  • A 23-year-old man developed chemical pneumonia after using waterproofing spray in a confined space, experiencing cough, chest tightness, and fever.
  • His tests revealed elevated white blood cell counts and hypoxemia, while imaging showed diffuse ground-glass opacities in both lungs.
  • Treatment with intravenous methylprednisolone led to significant improvement in symptoms and resolution of lung opacities, highlighting the need for proper diagnosis and treatment in similar cases.
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Article Synopsis
  • Case of a 54-year-old woman in Hong Kong with a rare tracheal schwannoma leading to respiratory issues; diagnosis was challenging due to rarity.
  • The emergency treatment involved rigid bronchoscopy and cryoablation, successfully removing the tumor and reducing its size in follow-up checks over 3.5 years.
  • The case underscores the importance of considering tracheal tumors in patients with unexplained breathing problems, and highlights the effectiveness of endoscopic techniques for diagnosis and treatment.
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Article Synopsis
  • * Non-invasive ventilation (NIV) and high-flow nasal cannula oxygen therapy (HFNC) provide necessary respiratory support during these procedures.
  • * A successful case study involving a 78-year-old patient with ARF showed that combining HFNC with multiple FBOs improved his condition and allowed similar treatments for other ARF patients, suggesting this combination could be a safe alternative to intubation in elderly patients facing severe airway obstruction.
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