Reactive airway disease

Reactive airway disease
Classification and external resources
ICD-9-CM 519.8, 493.9
eMedicine article/800119

Reactive airway disease is a group of conditions that include reversible airway narrowing due to an external stimulation.[1] These conditions generally result in wheezing.[2]

Conditions within this group include asthma, chronic obstructive pulmonary disease, and viral upper respiratory infections.[1]

The term sometimes is misused as a synonym for asthma.[3] Current medical use of the term reactive airway disease is used in pediatrics to describe an asthma-like syndrome in infants, that may later be confirmed to be asthmatics when they become old enough to participate in diagnostic tests such as the bronchial challenge test.

Reactive airways dysfunction syndrome

Reactive airways dysfunction syndrome (RADS) is a term proposed by Stuart M. Brooks and colleagues in 1985 [4] to describe an asthma-like syndrome developing after a single exposure to high levels of an irritating vapor, fume, or smoke.[5] It involves coughing, wheezing, and shortness of breath.[6]

It can also manifest in adults with exposure to high levels of chlorine, ammonia, acetic acid or sulphur dioxide, creating symptoms like asthma.[7] These symptoms can vary from mild to fatal, and can even create long-term airway damage depending on the amount of exposure and the concentration of chlorine. Some experts classify RADS as occupational asthma. Those with exposure to highly irritating substances should receive treatment to mitigate harmful effects.[8]

See also

References

  1. 1 2 Duke, James (2015). Duke's Anesthesia Secrets. Elsevier Health Sciences. p. 225. ISBN 9780323249782.
  2. "reactive airway disease" at Dorland's Medical Dictionary
  3. Mayo Clinic Staff (September 4, 2006). "Reactive airway disease: Is it asthma?". Mayo Clinic. Retrieved 2007-04-22.
  4. S.M. Brooks; M.A. Weiss; I.L. Bernstein. "Reactive airways dysfunction syndrome (RADS): persistent asthma syndrome after high level irritant exposures". Chest, Volume 88, 1985, 376-384. Retrieved 2007-08-28.
  5. John V. Fahy; Paul M. O'Byrne. ""Reactive airways disease": A lazy term of uncertain meaning that should be abandoned". Am. J. Respir. Crit. Care Med., Volume 163, Number 4, March 2001, 822-823. Retrieved 2007-04-22.
  6. "reactive airways dysfunction syndrome" at Dorland's Medical Dictionary
  7. Occupational Allergy. Page 1 Drs Rodney Ehrlich and Mohamed F Jeebhay. The Allergy Society of South Africa
  8. Aslan, Sahin; Kandiş, Hayati; Akgun, Metin; Çakır, Zeynep; Inandı, Tacettin; Görgüner, Metin (2006). "The effect of nebulized NaHCO3 treatment on 'RADS' due to chlorine gas inhalation". Inhalation Toxicology. 18 (11): 895–900. doi:10.1080/08958370600822615.


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