Asthma and COPD are two completely different diseases that differ in terms of the causes, course and prognosis and require despite similar symptoms (eg shortness of breath) different therapies. A differential diagnosis is therefore extremely important. Because these are both diseases to frequently occurring diseases with increasing socio-economic significance - that are real common diseases - is to stand on the Internet national clinical practice guidelines for asthma and COPD (chronic obstructive bronchitis with or without emphysema available Here are the different terms defined. the symptoms and course of their disease described.
COPD is caused primarily by smoking. The first sign is coughing, which is persistent over time more and torments the victims, especially in the morning. In addition, the cough is getting tougher and cough up more and more difficult. The patients suffer from shortness of breath, initially only on exertion, subsequently at rest. The disease usually has a progressive (progressive) course.
According to WHO defines chronic bronchitis occurs when there are cough and sputum for at least three months in at least two consecutive years. Hallmarks of chronic obstructive bronchitis is also a permanent airway narrowing (obstruction) that no major changes (variability) has.
In emphysema there is not a re reversible (irreversible) hyperinflation and destruction of the alveoli in the smallest ramifications of the bronchi, which is associated in most patients with a significant reduction in lung function, there are various degrees of destruction. Accordingly, so far, different phenotypes and different degrees of severity of the disease, respond to Prof. Teschler lecture in more detail below. Also, a new division into four levels of severity, taking into account both the lung function and quality of life of patients (according to CAT score = COPD Assessment Test), will present at the symposium, Prof. Teschler 2012 Hattingen.
Asthma is one of the most common chronic diseases in about 10% of child and 5% of the adult population. It is a chronic inflammatory disease of the airways by bronchial hyper-responsiveness (hyperreactivity) and - is characterized by a variable (variable) airway obstruction - in contrast to COPD. Three forms of asthma are distinguished: allergic asthma, non-allergic (intrinsic) asthma due to infections and mixed forms. For example, in an initially allergic asthma in the disease process, the intrinsic component to the fore.
To differentiate between COPD and asthma, there are a total of nine characteristics that make a differential diagnosis and are discussed in detail in the lecture by Prof. Teschler. The three most important relate to the clinical picture, the reversibility of bronchial obstruction and bronchial hyper-reactivity of the variability. For example includes a complete reversibility (reversible) airway narrowing slightly from COPD but not in mind, but usually for asthma. Asthmatics experience a frequent and often seasonal change between healthier and sicker phases, while COPD is a progressive course with continuous or in batch mode running deterioration (also known as exacerbations).
Patients with features of both diseases can also possibly be suffering from a combination of asthma and COPD. Their treatment should be relevant to the severity of both diseases can be adjusted.
COPD is caused primarily by smoking. The first sign is coughing, which is persistent over time more and torments the victims, especially in the morning. In addition, the cough is getting tougher and cough up more and more difficult. The patients suffer from shortness of breath, initially only on exertion, subsequently at rest. The disease usually has a progressive (progressive) course.
According to WHO defines chronic bronchitis occurs when there are cough and sputum for at least three months in at least two consecutive years. Hallmarks of chronic obstructive bronchitis is also a permanent airway narrowing (obstruction) that no major changes (variability) has.
In emphysema there is not a re reversible (irreversible) hyperinflation and destruction of the alveoli in the smallest ramifications of the bronchi, which is associated in most patients with a significant reduction in lung function, there are various degrees of destruction. Accordingly, so far, different phenotypes and different degrees of severity of the disease, respond to Prof. Teschler lecture in more detail below. Also, a new division into four levels of severity, taking into account both the lung function and quality of life of patients (according to CAT score = COPD Assessment Test), will present at the symposium, Prof. Teschler 2012 Hattingen.
Asthma is one of the most common chronic diseases in about 10% of child and 5% of the adult population. It is a chronic inflammatory disease of the airways by bronchial hyper-responsiveness (hyperreactivity) and - is characterized by a variable (variable) airway obstruction - in contrast to COPD. Three forms of asthma are distinguished: allergic asthma, non-allergic (intrinsic) asthma due to infections and mixed forms. For example, in an initially allergic asthma in the disease process, the intrinsic component to the fore.
To differentiate between COPD and asthma, there are a total of nine characteristics that make a differential diagnosis and are discussed in detail in the lecture by Prof. Teschler. The three most important relate to the clinical picture, the reversibility of bronchial obstruction and bronchial hyper-reactivity of the variability. For example includes a complete reversibility (reversible) airway narrowing slightly from COPD but not in mind, but usually for asthma. Asthmatics experience a frequent and often seasonal change between healthier and sicker phases, while COPD is a progressive course with continuous or in batch mode running deterioration (also known as exacerbations).
Patients with features of both diseases can also possibly be suffering from a combination of asthma and COPD. Their treatment should be relevant to the severity of both diseases can be adjusted.
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