Respiratory disease

Respiratory diseases range from mild and self-limiting, such as the common cold, influenza, and pharyngitis to life-threatening diseases such as bacterial pneumonia, pulmonary embolism, tuberculosis, acute asthma, lung cancer,[2] and severe acute respiratory syndromes, such as COVID-19.

Obstructive lung diseases are often identified because of symptoms and diagnosed with pulmonary function tests such as spirometry.

Many obstructive lung diseases are managed by avoiding triggers (such as dust mites or smoking), with symptom control such as bronchodilators, and with suppression of inflammation (such as through corticosteroids) in severe cases.

They are characterized by a high inflammatory cell recruitment (neutrophil) and/or destructive cycle of infection, (e.g. mediated by Pseudomonas aeruginosa).

Some of the most common are asthma, chronic obstructive pulmonary disease, and acute respiratory distress syndrome.

Most chronic respiratory dieseases are not curable; however, various forms of treatment that help dilate major air passages and improve shortness of breath can help control symptoms and increase the quality of life.

[citation needed] Epiglottitis is a bacterial infection of the larynx which causes life-threatening swelling of the epiglottis with a mortality rate of 7% in adults and 1% in children.

From tonsillitis can come a peritonsillar abscess which is the most common upper airway infection and occurs primarily in young adults.

Symptoms generally include fever, sore throat, trouble swallowing, and sounding like they have a "hot potato" in their mouth.

Examples are:[18][citation needed] Pulmonary diseases also impact newborns and the disorders are often unique from those that affect adults.

[19] Other risk factors include infant of a diabetic mother (IDM), method of delivery, fetal asphyxia, genetics, prolonged rupture of membranes (PROM), maternal toxemia, chorioamnionitis, and male sex.

The widely accepted pathophysiology of respiratory distress syndrome is it caused by insufficient surfactant production and immature lung and vascular development.

The lack of surfactant makes the lungs atelectatic causing a ventilation to perfusion mismatch, lowered compliance, and increased air resistance.

Symptoms can include tachypnea, nasal flaring, paradoxical chest movement, grunting, and subcostal retractions.

Risk factors include a diabetic mother, fetal hypoxia, precipitous delivery, and maternal high blood pressure.

[9] Persistent Pulmonary Hypertension of the Newborn (PPHN) is a syndrome that occurs from an abnormal transition to extra-uterine life.

It is marked by an elevated pulmonary vascular resistance and vasoconstriction causing a right-to-left shunt of the blood through the foramen ovale or ductus arteriosus.

[9] There are three main causes of PPHN are parenchymal diseases such as meconium aspiration syndrome, idiopathic, and hypoplastic vasculature like in a diaphragmatic hernia.

It commonly occurs in infants who are delivered via caesarean section without the onset of labor because absorption of amniotic fluid in the lungs has not yet commenced.

It is a diagnosis of exclusion because of its similarity to other diseases and frequently CPAP is used to help push the lung fluid into the pulmonary vasculature.

Chest x-ray is the standard for diagnosis where it is seen as linear or cystic translucencies extending to the edges of the lungs.

It is usually caused by respiratory syncytial virus (RSV), which is spread when an infant touches the nose or throat fluids of someone infected.

[29] A study found that in 2010, there were approximately 6.8 million emergency department visits for respiratory disorders in the U.S. for patients under the age of 18.

Age-standardised disability-adjusted life year (DALY) rates from respiratory diseases by country (per 100,000 inhabitants).
Classic steeple sign indicating croup
Pulmonary interstitial emphysema
Deaths from respiratory diseases per million persons in 2012
19–125
126–169
170–196
197–225
226-–75
276–308
309–365
366–440
441–593
594–1,227