Isolated diffusing capacity reduction is a common clinical presentation in deployed Iraq and Afghanistan veterans with deployment-related environmental exposures
Autor: | Lydia A. Patrick-DeLuca, Drew A. Helmer, Duncan Ndirangu, Omowunmi Y. Osinubi, Michael J. Falvo, Anays Sotolongo, Jacquelyn C. Klein |
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Rok vydání: | 2016 |
Předmět: |
Adult
Lung Diseases Male Pulmonary and Respiratory Medicine Spirometry medicine.medical_specialty Time Factors Respiratory Tract Diseases Risk Assessment Severity of Illness Index Tertiary care Pulmonary function testing Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine DLCO Diffusing capacity Humans Immunology and Allergy Medicine 030212 general & internal medicine Iraq War 2003-2011 Genetics (clinical) Retrospective Studies Veterans Lung Afghan Campaign 2001 medicine.diagnostic_test business.industry Incidence Pulmonary Diffusing Capacity Environmental Exposure Middle Aged respiratory system Prognosis medicine.disease humanities Respiratory Function Tests Military Personnel medicine.anatomical_structure 030228 respiratory system Emergency medicine Female Medical emergency Presentation (obstetrics) business |
Zdroj: | The Clinical Respiratory Journal. 12:795-798 |
ISSN: | 1752-6981 |
Popis: | Following deployment to Iraq and Afghanistan ("post-9/11"), a spectrum of respiratory conditions has been reported; however, there are few published reports of objective physiologic data or later experience of symptoms and function. To better understand the post-deployment clinical presentation, we conducted a retrospective review of pulmonary function testing in 143 veterans referred to our tertiary care clinic for post-deployment health concerns. More than 75% of our sample had normal lung volumes and spirometry on pulmonary function testing; however, an isolated reduction in lung diffusing capacity (DLCO) was observed in 30% of our sample of post-9/11 veterans. An isolated reduction in DLCO is a rare pattern in primary-care seeking dyspneic patients, but is commonly associated with underlying pulmonary disease. Post-9/11 veterans with respiratory complaints and an isolated reduction in DLCO should undergo further evaluation. |
Databáze: | OpenAIRE |
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