Pathogenesis-chronic obstructive pulmonary disease

Lancet 2017;389:1931

  • Cigarette smoke (centrilobular emphysema, affects 15–20% of smokers)
  • Recurrent airway infections
  • α1-antitrypsin deficiency
  • Low FEV1 in early adulthood associated with COPD (NEJM 2015;373:111)