Alcoholic lung disease

Not to be confused with Alcoholic liver disease.

Short description: Human disease

Alcoholic lung disease

Diagram of respiratory system
Specialty| Respirology

Alcoholic lung disease is disease of the lungs caused by excessive alcohol. The term 'alcoholic lung disease' is not a generally accepted medical diagnosis, and "the association between alcohol abuse and acute lung injury remains largely unrecognized, even by lung researchers".[1]

Chronic alcohol ingestion impairs multiple critical cellular functions in the lung. These cellular impairments lead to increased susceptibility to the serious complications from a pre-existing lung disease. Recent research cites alcoholic lung disease as comparable to liver disease in alcohol-related mortality.[1] Alcoholics have a higher risk of developing acute respiratory distress syndrome (ARDS) and experience higher rates of mortality from ARDS when compared to non-alcoholics.

Alcohol use disorder can cause a susceptibility to infection after major trauma to the lungs / respiratory system. It creates an increased risk of aspiration of gastric acid, microbes from the upper part of the throat, decreased mucus-facilitated clearance of bacterial pathogens from the upper airway and impaired pulmonary host defenses. This increased colonization by pathogenic organisms, combined with the acute intoxicating effects of alcohol and the subsequent depression of the normally protective gag and cough reflexes, leads to more frequent and severe pneumonia from gram-negative organisms. Defects in the function of the upper airway's clearance mechanisms in alcoholic patients have been detected.

## Contents

* 1 Cause
* 2 Mechanism
* 3 Diagnosis
* 3.1 Differential diagnosis
* 4 See also
* 5 References
* 6 External links

## Cause

Pneumonia is a form of acute respiratory infection that affects the lung parenchyma and oxygenation. When a patient with pneumonia is an alcoholic, the mortality rate exceeds by 50% if they are placed into intensive care (ICU). According to Kershaw, C 2008 page 1, "[a]s of 2001, pneumonia was the sixth most common cause of death in the United States".

Alcoholism increases mortality from pneumonia because of leukopenia, lower white blood cell counts, which leads to a worse infection because white blood cells help fight the bacterial infection, so lower numbers result in a less effective immune response.[2] Alcoholics are at an increased risk for infection with tissue-damaging gram-negative pathogens or for the spread of bacteria in the blood.[3]

## Mechanism

The mechanisms of alcoholic lung disease are:

* Metabolism of alcohol reduces glutathione anti-oxidant levels in the lungs.[4]
* Oxidation damage to the cells impairs the ability of the lungs to remove fluid.
* Oxidative damage to cells reduces immune response.
* Oxidative damage to cells results in a reduced ability to recover from injury.

These chemical changes compound the negative mechanical and microbiological effects of alcoholism on the respiratory system. These include impaired gag reflex and cilia function and greater likelihood of colonies of pneumococcal bacteria in the upper respiratory system.

## Diagnosis

### Differential diagnosis

Although lung damage from concurrent smoking and drug use is often indistinguishable from alcoholic lung disease, there is support for considering alcoholic lung disease as an independent syndrome.[5] Over the last decade, evidence from epistemological studies show that hazardous alcohol use alone can increase by as much as fourfold the risk for acute respiratory distress syndrome.[6]

## See also

* Alcohol-induced respiratory reactions

## References

1. ↑ 1.0 1.1 "Alcoholic Lung Disease". Alcohol Research and Health 31 (1): 66–75. 2008. PMID 23584753. PMC 3860447. http://pubs.niaaa.nih.gov/publications/arh311/66-75.htm. Retrieved 15 July 2010.
2. ↑ Alraiyes, Abdul Hamid (2013). "Alcoholic leukopenic pneumococcal sepsis". Avicenna Journal of Medicine 3 (2): 53–55. doi:10.4103/2231-0770.114133. PMID 23930244.
3. ↑ Kershaw, Corey D.; Guidot, David M. (2008). "Alcoholic Lung Disease". Alcohol Research & Health 31 (1): 66–75. ISSN 1535-7414. PMID 23584753.
4. ↑ "The alcoholic lung: epidemiology, pathophysiology, and potential therapies". Am. J. Physiol. Lung Cell Mol. Physiol. 292 (4): L813–23. April 2007. doi:10.1152/ajplung.00348.2006. PMID 17220370.
5. ↑ Karkoulias, K.; Tsitsaras, H.; Patouchas, D.; Sampsonas, F.; Likouras, D.; Kaparianos, A.; Spiropoulos, K. (2008), "The alcoholic lung disease: historical background and clinical features", Medicina (Kaunas) 44 (9): 51–64, PMID 18971602
6. ↑ Pratibha C. Joshi, David M. Guidot (2007). "The alcoholic lung: epidemiology, pathophysiology, and potential therapies". American Physiological Society. http://ajplung.physiology.org/content/292/4/L813.short. Retrieved 10 March 2013.

## External links

Classification|

* ICD-10: Xxx.x
* ICD-9-CM: xxx

|

* v
* t
* e

Alcohol and health

Alcohol use|

| Alcohol-related crimes|

* Drunk drivers
* Alcohol-related traffic crashes in the United States)
* Driving under the influence (DUI)
* Drunk driving in the United States
* Public intoxication
* Rum-running
* Adulterated moonshine/Denatured alcohol
* List of methanol poisoning incidents

|

Alcoholism|

Note: see Template:Psychoactive substance use for diagnoses, and Category:Psychiatric instruments: alcohol abuse for treatment evaluation instruments.

* Alcohol and Native Americans
* Alcoholism in adolescence
* Alcoholism in family systems
* Collaborative Study on the Genetics of Alcoholism
* College student alcoholism
* Disease theory of alcoholism
* High-functioning alcoholic (HFA)
* Seeing pink elephants

Chemistry|

* Beer chemistry
* Congener (Alcohol congener analysis)
* Ethanol (Blood alcohol content, Breathalyzer)
* Fusel alcohol
* Wine chemistry

Effects|

* Effects of alcohol consumption
* short-term
* long-term
* On memory
* Subjective response to alcohol

Interactions|

* Aging
* Brain
* Cancer
* breast cancer
* Cortisol
* Pregnancy
* Sleep
* Tolerance/intolerance
* Weight
* Beverage-specific
* Beer: Potomania
* Red wine: Red wine headache

Social issues|

* Alcohol advertising
* on college campuses
* Sex
* Alcohol myopia
* Alcohol abuse among college students
* Binge drinking
* Epidemiology
* Blackout (alcohol-related amnesia)
* Blackout Wednesday
* Drinking games (list) / pregaming
* Drinking in public
* Drunk dialing
* Drunk walking
* Drunkorexia
* Dry drunk
* French paradox
* Hair of the dog
* Nightcap
* Passive drinking
* Binge drinking devices
* Beer bong
* Yard of ale
* Routes of administration
* Alcohol enema
* Alcohol inhalation
* Sconcing
* Surrogate alcohol
* Related issues
* Balconing
* Suicide

History|

* Dionysian Mysteries
* Dipsomania
* Gin Craze
* List of deaths through alcohol
* Rum ration
* Speakeasy

General|

* Beer day
* Drinking culture
* Apéritif and digestif
* Hangover remedies
* Health effects of wine
* Wine and food matching
* Long-distance race involving alcohol
* List of countries by alcohol consumption per capita
* Alcohol consumption by youth in the United States
* Nip joint

Alcohol control|

| Alcohol law|

* Administrative license suspension (ALS)
* Alcohol packaging warning messages
* Drunk driving law by country
* DWI court
* Field sobriety testing
* Hip flask defence
* Ignition interlock device
* Legal drinking age
* Legal drinking age controversy in the United States
* Underage drinking in America
* List of alcohol laws of the United States

|

Alcohol prohibition|

* List of countries with alcohol prohibition
* Neo-prohibitionism
* Temperance movement

Sobriety|

* Alcohol detoxification
* Alcohol-free zone
* United States open-container laws
* Designated driver
* Alcohol rehabilitation
* Drunk tank
* Managed alcohol program
* Non-alcoholic drink
* List of non-alcoholic cocktails
* List of non-alcoholic mixed drinks
* Non-alcoholic spritzer
* Non-alcoholic malt drinks
* Teetotalism
* Temperance bar
* Twelve-step groups
* Al-Anon/Alateen
* Alcoholics Anonymous (AA):
* Adult Children of Alcoholics (ACA)

Alcohol limitation|

* 0-0-1-3
* Alcohol education
* Alcohol server training
* FRAMES
* Dry January
* Foundation for Advancing Alcohol Responsibility
* Campaigns
* Get Your Sexy Back
* Low-alcohol drinks
* Fermented tea
* Low-alcohol beer
* Low-alcoholic malt drinks
* Small beer
* Measurement
* Alcoholic spirits measure
* Standard drink
* Recommended maximum intake of alcoholic beverages

Addiction medicine|

* Disulfiram-like drugs: disulfiram, calcium carbimide, cyanamide. [[Chemistry:Sulfonic Sulfonic acid]]s: Acamprosate

Religion and alcohol|

* Christian views on alcohol
* alcohol in the Bible
* Islam and alcohol

History|

* Bratt System

Related|

* Index of alcohol-related articles
* Austrian syndrome
* Ban on caffeinated alcoholic beverages
* Brief intervention
* Gateway drug effect
* Mood disorder
* Non-alcoholic fatty liver disease
* Self-medication
* Spins
* Sober companion
* Sober living houses
* Sobering center
* Town drunk

* Category

* v
* t
* e

Psychoactive substance-related disorder (F10–F19, 291–292; 303–305)

General|

* SID
* Substance intoxication / Drug overdose
* Substance-induced psychosis
* Withdrawal:
* Craving
* Neonatal withdrawal
* Post-acute-withdrawal syndrome (PAWS)
* SUD
* Substance abuse / Substance-related disorders
* Physical dependence / Psychological dependence / Substance dependence

Combined
substance use|

* SUD
* Polysubstance dependence
* SID
* Combined drug intoxication (CDI)

Alcohol|

| SID|

| Cardiovascular diseases|

* Alcoholic cardiomyopathy
* Alcohol flush reaction

|

Gastrointestinal diseases|

* Alcoholic liver disease (ALD):
* Alcoholic hepatitis
* Auto-brewery syndrome

Endocrine diseases|

* Alcoholic ketoacidosis (AKA)

Nervous
system diseases|

* Alcohol-related dementia (ARD)
* Alcohol intoxication
* Hangover

Neurological
disorders|

* Alcoholic hallucinosis
* Alcoholic polyneuropathy
* Alcohol-related brain damage
* Alcohol withdrawal syndrome:
* Alcoholic hallucinosis
* Delirium tremens (DTs)
* Fetal alcohol spectrum disorder (FASD)
* Fetal alcohol syndrome (FAS)
* Korsakoff syndrome
* Korsakoff psychosis
* Positional alcohol nystagmus (PAN)
* Wernicke–Korsakoff syndrome (WKS)
* Wernicke encephalopathy (WE)

Respiratory tract diseases|

* Alcohol-induced respiratory reactions
* Alcoholic lung disease

SUD|

* Alcoholism (alcohol use disorder (AUD))
* Binge drinking

Caffeine|

* SID
* Caffeine-induced anxiety disorder
* Caffeine-induced sleep disorder
* Caffeinism
* SUD
* Caffeine dependence

Cannabis|

* SID
* Cannabinoid hyperemesis syndrome (CHS)
* SUD
* Amotivational syndrome
* Cannabis use disorder (CUD)
* Synthetic cannabinoid use disorder

Cocaine|

* SID
* Cocaine intoxication
* Prenatal cocaine exposure (PCE)
* SUD
* Cocaine dependence

Hallucinogen|

* SID
* Acute intoxication from hallucinogens (bad trip)
* Hallucinogen persisting perception disorder (HPPD)

Nicotine|

* SID
* Nicotine poisoning
* Nicotine withdrawal
* SUD
* Nicotine dependence

Opioids|

* SID
* Opioid overdose
* SUD
* Opioid use disorder (OUD)

Sedative /
hypnotic|

* SID
* Kindling (sedative–hypnotic withdrawal)
* benzodiazepine: SID
* Benzodiazepine overdose
* Benzodiazepine withdrawal
* SUD
* Benzodiazepine use disorder (BUD)
* Benzodiazepine dependence
* barbiturate: SID
* Barbiturate overdose
* SUD
* Barbiturate dependence

Stimulants|

* SID
* Stimulant psychosis
* amphetamine: SUD
* Amphetamine dependence

Volatile
solvent|

* SID
* Sudden sniffing death syndrome (SSDS)
* Toluene toxicity
* SUD
* Inhalant abuse

0.00

(0 votes)

Original source: https://en.wikipedia.org/wiki/Alcoholic lung disease. Read more

|

Retrieved from "https://handwiki.org/wiki/index.php?title=Medicine:Alcoholic_lung_disease&oldid=4240091"
*[v]: View this template
*[t]: Discuss this template
*[e]: Edit this template