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Extrapulmonary effects of chronic obstructive pulmonary disease.
1Department of Medicine, Stritch-Loyola School of Medicine, Chicago, Illinois, USA. gross@research.hines.med.va.gov
Current Opinion in Pulmonary Medicine
|February 27, 2001
Summary
Chronic obstructive pulmonary disease (COPD) affects more than just the lungs. This review highlights COPD
Area of Science:
- Pulmonary Medicine
- Systemic Manifestations of Respiratory Diseases
- Internal Medicine
Background:
- Chronic obstructive pulmonary disease (COPD) is primarily characterized by airflow obstruction.
- Extrapulmonary manifestations significantly impact COPD patient morbidity, quality of life, and mortality.
- These systemic effects are often overlooked in patient care.
Purpose of the Study:
- To review the literature on extrapulmonary features of COPD.
- To discuss management strategies for skeletal muscle dysfunction, osteoporosis, and weight loss in COPD.
- To emphasize the importance of considering COPD as a systemic disorder.
Main Methods:
- Literature review of scientific articles and studies.
- Analysis of research focusing on extrapulmonary manifestations of COPD.
- Synthesis of findings related to skeletal muscle dysfunction, osteoporosis, weight loss, and hormonal abnormalities.
Main Results:
- COPD is associated with significant extrapulmonary effects, including skeletal muscle dysfunction, osteoporosis, and weight loss.
- These conditions contribute to reduced quality of life and increased mortality in COPD patients.
- Hormonal abnormalities are also noted, though less understood, and potentially correctable.
Conclusions:
- COPD should be viewed as a systemic disease with significant extrapulmonary manifestations.
- Addressing these systemic issues is crucial for comprehensive patient care.
- Management strategies for extrapulmonary features can improve patient outcomes.