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Pathologic Changes in the Peripheral Airways of Young Cigarette Smokers
Abstract
The lungs of young smokers and controls of comparable age from a population of sudden non-hospital deaths were systematically studied to determine the relation between cigarette smoking and pathologic changes in peripheral airways. The characteristic lesion observed was a respiratory bronchiolitis associated with clusters of pigmented alveolar macrophages and was present in the lungs of all smokers studied but rarely seen in nonsmokers (p<0.002). The lungs of smokers also showed small but significant increases in mural inflammatory cells and denuded epithelium in the membranous bronchioles as compared to controls (p<0.05). We postulate that this respiratory bronchiolitis is a precursor of centriacinar emphysema and may be responsible for the subtle functional abnormalities observed in young smokers. (N Engl J Med 291: 755–758, 1974)
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Cited by
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., Barnes, P. J., Fabbri, L. M., Martinez, F. J., Nishimura, M., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201204-0596pp · Cited by 15,983
(2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.165.2.ats01 · Cited by 4,196
Idiopathic Pulmonary Fibrosis: Clinical Relevance of Pathologic Classification
KATZENSTEIN, A.-L. A., & MYERS, J. L. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.4.9707039 · Cited by 1,261
Lacoste, J.-Y., Bousquet, J., Chanez, P., Van Vyve, T., Simony-Lafontaine, J., Lequeu, N., Vic, P., Enander, I., Godard, P., & Michel, F.-B. (1993) · Journal of Allergy and Clinical Immunology · doi:10.1016/0091-6749(93)90078-t · Cited by 401
SAETTA, M., TURATO, G., BARALDO, S., ZANIN, A., BRACCIONI, F., MAPP, C. E., MAESTRELLI, P., CAVALLESCO, G., PAPI, A., & FABBRI, L. M. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.161.3.9907080 · Cited by 342
Metadata
- Authors
- Niewoehner, D. E., Kleinerman, J., & Rice, D. B.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1974-10-10
- Volume
- 291
- Issue
- 15
- Pages
- 755-758
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2073432936
- Cited by
- 954
- References
- 0
- FWCI
- 19.91
- Type
- journal article
- Language
- en
- Open access
- closed
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- Niewoehner, D. E., Kleinerman, J., & Rice, D. B. (1974). Pathologic Changes in the Peripheral Airways of Young Cigarette Smokers. New England Journal of Medicine. https://doi.org/10.1056/nejm197410102911503
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.