Atelectasis Leakage of air into the pleural cavity (pneumothorax) also leads to compression atelectasis. It occurs when either local or generalized fibrotic changes in the lung or pleura hamper expansion and increase elastic recoil during expiration. Causes include granulomatous disease, necrotising pneumonia and radiation fibrosis. Chronic atelectasis may take one of two forms—middle lobe syndrome or rounded atelectasis. In right middle lobe syndrome, the middle lobe of the right lung contracts, usually because of pressure on the bronchus from enlarged lymph glands and occasionally a tumor. The blocked, contracted lung may develop pneumonia that fails to resolve completely and leads to
High-altitude adaptation in humans Tibetans, Andeans and Ethiopians is indeed an observable instance of the process of natural selection in acting on favourable characters such as enhanced respiratory mechanisms in humans. Humans are naturally adapted to lowland environment where oxygen is abundant. When people from the general lowlands go to altitudes above , with atmospheric pressure 74% of normal they experience mountain sickness, which is a type of hypoxia, a clinical syndrome of severe lack of oxygen. Complications include fatigue, dizziness, breathlessness, headaches, insomnia, malaise, nausea, vomiting, body pain, loss of appetite, ear-ringing, blistering and purpling of the hands and feet, and dilated veins.