Emphysema historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Priyamvada Singh, MBBS [3]

Overview

The terms chronic bronchitis and emphysema were formally defined at the CIBA guest symposium of physicians in 1959. Matthew Baillie illustrated an emphysematous lung in 1789 and described the destructive character of the condition. .

Historical Perspective

  • In 1769, Giovanni Morgagni described 19 cases where the lungs were “turgid” particularly from air.[1] The first description and illustration of the enlarged airspaces in emphysema was provided by Ruysh in 1721.
  • Matthew Baillie illustrated an emphysematous lung in 1789 and described the destructive character of the condition.[1]
  • René Laennec, the physician who invented the stethoscope, used the term "emphysema" in his book A Treatise on the Diseases of the Chest and of Mediate Auscultation (1837) to describe lungs that did not collapse when he opened the chest during an autopsy. He noted that they did not collapse as usual because they were full of air and the airways were filled with mucus.[1]
  • In 1842, John Hutchinson invented the spirometer, which allowed the measurement of vital capacity of the lungs. However, his spirometer could only measure volume, not airflow.[2]
  • Tiffeneau in 1947 and Gaensler in 1950 and 1951 described the principles of measuring airflow.
  • The terms chronic bronchitis and emphysema were formally defined at the CIBA guest symposium of physicians in 1959.

References

  1. 1.0 1.1 1.2 Petty TL (2006). "The history of COPD". Int J Chron Obstruct Pulmon Dis. 1 (1): 3–14. PMC 2706597. PMID 18046898.
  2. Fishman AP (2005). "One hundred years of chronic obstructive pulmonary disease". Am. J. Respir. Crit. Care Med. 171 (9): 941–8. doi:10.1164/rccm.200412-1685OE. PMID 15849329. Unknown parameter |month= ignored (help)


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