Multidisciplinary management of chronic obstructive pulmonary disease exacerbation in a veteran with chronic kidney disease Stage 5, coronary artery disease, and agent orange exposure

Kaan Sevgi; Sinan Aran

doi:10.5606/fng.btd.2025.168

Kaan Sevgi¹, Sinan Aran²

¹Kansas City University of Medicine & Biosciences, School of Medicine, Kansas City, USA
²Department of Family Medicine, Demiroglu Science University, İstanbul, Türkiye

Keywords: Agent orange, chronic kidney disease stage 5, chronic obstructive pulmonary disease exacerbation, coronary artery disease, multidisciplinary management.

Abstract

Chronic obstructive pulmonary disease (COPD) exacerbations are a leading cause of morbidity and mortality, particularly in patients with systemic comorbidities such as chronic kidney disease (CKD) and coronary artery disease (CAD). A 68-year-old male presented with acute dyspnea, peripheral edema, and hyperkalemia. Imaging revealed pulmonary congestion, and lab findings confirmed CKD Stage 5 and troponin elevation. This case highlights the complexity of managing a severe COPD exacerbation in a veteran with CKD Stage 5 and CAD, compounded by a history of Agent Orange exposure.

Cite this article as: Sevgi K, Aran S. Multidisciplinary management of COPD exacerbation in a veteran with CKD stage 5, CAD, and agent orange exposure. D J Med Sci 2025;11(1):27-30. doi: 10.5606/fng.btd.2025.168.