Bronchial Anthracosis - Anthracofibrosis: Potential Causes and Clinical Characteristics

Uçar, Elif Yılmazel; Araz, Ömer; Akgün, Metin; Meral, Mehmet; Sağlam, Leyla; Kaynar, Hasan; Görgüner, Ali Metin

doi:10.5152/ejp.2014.72681

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…The prevalence of airflow limitation in BAF varies widely; most studies reporting spirometric results in BAF were conducted based on a relatively small number of individuals, and the prevalence of airflow limitation was 24% to 95% ( Figure 1 ) [ 88 - 90 ]. In Korea, the rate of having BAF in COPD seems relatively frequent.…”

Section: Controversial Issues 3: Copd Due To Environmental Exposurementioning

confidence: 99%

Proposed Etiotypes for Chronic Obstructive Pulmonary Disease: Controversial Issues

Kim,

Moon,

Min

et al. 2024

Tuberc Respir Dis

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The 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) revised the definition of chronic obstructive pulmonary disease (COPD) to broadly include a variety of etiologies. A new taxonomy, composed of etiotypes, aims to highlight the heterogeneity in causes and pathogenesis of COPD, allowing more personalized management strategies and emphasizing the need for targeted research to understand and manage COPD better. However, controversy arises with including some diseases under the umbrella term of COPD, as their clinical presentations and treatments differ from classical COPD, which is smoking-related. COPD due to infection (COPD-I) and COPD due to environmental exposure (COPD-P) are classifications within the new taxonomy. Some disease entities in these categories show distinct clinical features and may not benefit from conventional COPD treatments, raising questions about their classification as COPD subtypes. There is also controversy regarding whether bronchiectasis with airflow limitations should be classified as an etiotype of COPD. This article discusses controversial issues associated with the proposed etiotypes for COPD in terms of COPD-I, Controversial Issues 1: Bronchiectasis with Airflow LimitationBronchiectasis is a disease entity of clinical and radio-COPD-P, and bronchiectasis. While the updated COPD definition by GOLD 2023 is a major step towards recognizing the disease's complexity, it also raises questions about the classification of related respiratory conditions. This highlights the need for further research to improve our understanding and approach to COPD management.

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Section: Controversial Issues 3: Copd Due To Environmental Exposurementioning

confidence: 99%

Proposed Etiotypes for Chronic Obstructive Pulmonary Disease: Controversial Issues

Kim,

Moon,

Min

et al. 2024

Tuberc Respir Dis

View full text Add to dashboard Cite

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Epicardial anthracosis in a patient undergoing coronary artery bypass graft surgery

Altinay

Coşkun

Tekin

et al. 2018

American J Industrial Med

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Anthracosis is an occupational disease which is caused by long‐term inhalation of coal and rock dust. We present a case of epicardial anthracosis in a patient who underwent coronary artery bypass graft surgery for coronary artery disease. This is the first case of anthracosis related to the heart in the literature to the best of our knowledge. This case report emphasizes the systemic dissemination of inorganic particles such as carbon in the human body.

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Evaluation of the Agreement Between the Tissue Sample and Bronchoalveolar Lavage (BAL) Fluid in the Diagnosis of Tuberculosis in Patients with Anthracosis

Samet

Rahimian

Meshkat

et al. 2020

CRMR

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Background: Black dust deposited in the lungs is called anthracosis. By damaging bronchial mucosa, anthracosis can affect the mucociliary cleaning function. Initial reports indicate that there is a relationship between anthracosis and pulmonary tuberculosis. Due to obstructive effects of anthracosis on distal airways and disruption in a proper sampling of bronchoalveolar lavage (BAL), other diagnostic methods are necessary for estimating the tuberculosis prevalence in these patients. The aims of this study was to evaluate tissue samples adjacent to an anthracotic plaque for acid-fast bacilli smear and culture. Methods: his is a cross-sectional analysis study on 100 patients referred to Shahid Sadoughi Hospital who required bronchoscopy and anthracotic plaque based on bronchoscopy results. Bronchial fluid lavage, two biopsy samples for culture, and a smear of Mycobacterium tuberculosis from the surrounding of these plaques were prepared. Data analyses were carried out using SPSS (version 18). Results: One-hundred patients og the age range 46-91years were studied. The patients with tuberculosis diagnosis based on the smear of BAL and bronchial tissue samples and culture of BAL and bronchial tissue samples were 7%, 13%, 6% and 8% respectively. The presence of granuloma in histopathology was seen in 15 patients infected with tuberculosis. (κ > 0.04, p-value <0.05). In patients with positive tuberculosis, culture of bronchoalveolar lavage was superior to other methods. Conclusions: Diagnostic value of BAL method and tissue biopsy in anthracosis patients with tuberculosis did not show a statistically significant difference. As compared with other methods, BAL culture was more positive. Therefore, tissue biopsy is not a good alternative to BAL.

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Bronchial Anthracosis - Anthracofibrosis: Potential Causes and Clinical Characteristics

Cited by 5 publications

References 10 publications

Proposed Etiotypes for Chronic Obstructive Pulmonary Disease: Controversial Issues

Proposed Etiotypes for Chronic Obstructive Pulmonary Disease: Controversial Issues

Epicardial anthracosis in a patient undergoing coronary artery bypass graft surgery

Evaluation of the Agreement Between the Tissue Sample and Bronchoalveolar Lavage (BAL) Fluid in the Diagnosis of Tuberculosis in Patients with Anthracosis

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