Reactive airways dysfunction syndrome

Last revised by Yuranga Weerakkody on 9 Aug 2023

Reactive airways dysfunction syndrome (RADS) is an airway inflammatory condition often defined as the sudden onset of asthma-like symptoms following high-level exposure to an agent such as corrosive gas, vapor, or fumes. Some publications suggest this a subset or variant of asthma 2-3.

Patients usually have normal premorbid pulmonary physiology and absence of pre-existing bronchial hyperreactivity.

Pathology

Often shows non-specific inflammation, with a cellular infiltrate which is primarily lymphocytic with epithelial desquamation.

History and etymology

The term RADS was originally described by Brooks and Lockers in 1981 as non-immunological form of asthma resulting from exposure to an irritant gas.

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