Common Manifestation of Airway Diseases: Chronic Obstructive Pulmonary Disease and Asthma Bronchiale

Clinical symptoms can hardly differentiate COPD and asthma bronchiale [1-8]. Significant smoking anamnesis can support COPD origin, but some asthmatic patients are smoker, also [19]. Most of the asthmatic patients have paroxismatic dyspnoic wheezing in the early morning or after exercise [1-9]. In COPD, the dyspnoea is progressive and it is manifested during exercise at first. Hey fever with obstructive pulmonary disease support the definition of allergic asthma bronchiale, but there is a significant portion of COPD patients with hey fever as co-morbidity [10]. Asthma bronchiale and COPD together show similar clinical feature as asthma bronchiale [1-8]. Lung function is crucial for differentiation. In asthma bronchiale most of the cases have reversible airway obstruction, lung function goes to normal values [10]. The airway obstruction in COPD is irrevervisible or parthly reversible [9].