Very often the practitioners find difficulty in dealing with these 2 disorders with difficulty in breathing. Bronchial asthma starts from childhood there will be a family history.COPD starts around 35 to 40 years of age. Bronchial asthma is a reversible breathing difficulty where as COPD is not because in Bronchial asthma only the airway passages are affected while in COPD it includes the lung parenchyma too.

In COPD smoking (nicotine) plays a key role, both of them are the immune-mediated inflammatory disease of the respiratory tract. In Bronchial asthma you will find eosinophils and cd4 lymphocytes whereas in COPD neutrophils macrophages and cd8 lymph's seen. COPD is a progressive disorder leading to emphysema bullae destruction of alveoli in due course the result will be increased pulmonary resistance, pulmoaryHT, and core pulmonary-associated co-morbidities in the advanced age in…