A 70-year-old male admitted for exacerbation of COPD. Mixed phenotype

Authors

  • Francisco López-García Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain. Grupo de Trabajo de EPOC de la Sociedad Española de Medicina Interna

DOI:

https://doi.org/10.32818/reccmi.a2n3a18

Keywords:

chronic obstructive pulmonary disease, phenotypes COPD, asthma-COPD overlap

Abstract

A 70-year-old male ex-smoker who entered for increased cough with brownish expectoration and medium-effort dyspnea, without fever, and with normal chest x-ray. He was diagnosed of probable COPD exacerbation and trea- ted effectively with antibiotics, oral corticosteroids and bronchodilators. At the month of admission, spirometry was performed, which showed a severe airflow obstruction and a very positive bronchodilator test, which, together with the presence of peripheral blood eosinophilia, confirmed the diagnosis of COPD phenotype asthma-COPD overlap (ACO).

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Global for the Diagnosis, Management and Prevention of COPD, Global initiative for Chronic Obstructive Lung Disease (GOLD) 2017. Disponible en: https://goldcopd.org.

Vanfleteren LE, Spruit MA, Wouters EM, Fransen FM. Management of chronic obstructive pulmonary disease beyond the lungs. Lancet Respir Med. 2016; 4: 911-924.

Guía de práctica clínica para el diagnóstico y tratamiento de pacientes con enfermedad pulmonar obstructiva crónica (EPOC). Guía española de la EPOC (GesEPOC). Versión 2017. Arch Bronconeumol. 2017; 53(Supl 1): 2-64.

Ortega Ruiz F, Márquez Martin E, López-Campos JL. Enfermedad pulmonar obstructiva crónica: en busca de la clasificación ideal. Arch Bronconeumol. 2017; 53: 91-92.

Guía de práctica clínica para el diagnóstico y tratamiento de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) – Guía española de la EPOC (GesEPOC). Arch Bronconeumol. 2012; 48(Supl 1): 2-58.

Alshabanat A, Zafari Z, Albanyan O, Dairi M, Fitzgerald JM. Asthma and COPD overlap syndrome (ACOS): a systematic review and meta analysis. Plos One. 2015; 10: e0136065.

Cosio BG, Soriano JB, López-Campos JL, Calle-Rubio M, Soler-Cataluña JJ, De-Torres JP, et al. Defining the asthma-COPD overlap syndrome in a COPD cohort. Chest. 2016; 149: 45-52.

Miravitlles M, Álvarez-Gutiérrez FJ, Calle M, Casanova C, Cosío BG, López-Viña A, et al. Algorithm for identification of asthma-COPD overlap: consensus between the Spanish COPD and asthma guidelines. Eur Respir J. 2017; 1: 49(5): 1700068. doi: https://doi.org/10.1183/13993003.00068-2017.

Published

2017-12-31

How to Cite

1.
López-García F. A 70-year-old male admitted for exacerbation of COPD. Mixed phenotype. Rev Esp Casos Clin Med Intern [Internet]. 2017 Dec. 31 [cited 2024 Jul. 3];2(3):155-7. Available from: https://www.reccmi.com/RECCMI/article/view/200