Is Chronic Obstructive Pulmonary Disease Caused by Wood Smoke a Different Phenotype or a Different Entity?

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• 作者：Carlos A. Torres-Duque^a ; ^{ctorres@neumologica.org" class="auth_mail" title="E-mail the corresponding author} ; Marí ; a Carmen Garcí ; a-Rodriguez^b ; Mauricio Gonzá ; lez-Garcí ; a^a
• 关键词：Chronic obstructive pulmonary disease ; Wood smoke ; Phenotype ; Biomass
• 刊名：Archivos de Bronconeumología (English Edition)
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：52
• 期：8
• 页码：425-431
• 全文大小：1164 K

文摘

Around 40% of the world's population continue using solid fuel, including wood, for cooking or heating their homes. Chronic exposure to wood smoke is a risk factor for developing chronic obstructive pulmonary disease (COPD). In some regions of the world, this can be a more important cause of COPD than exposure to tobacco smoke from cigarettes.

Significant differences between COPD associated with wood smoke (W-COPD) and that caused by smoking (S-COPD) have led some authors to suggest that W-COPD should be considered a new COPD phenotype. We present a review of the differences between W-COPD and S-COPD. On the premise that wood smoke and tobacco smoke are not the same and the physiopathological mechanisms they induce may differ, we have analyzed whether W-COPD can be considered as another COPD phenotype or a distinct nosological entity.