Document Detail


Idiopathic bronchiolitis mimicking diffuse panbronchiolitis.
MedLine Citation:
PMID:  12737282     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diffuse panbronchiolitis (DPB) is a distinct sinobronchial syndrome which has been almost exclusively reported in East Asia; only a few cases have been observed in non-Asians so far. Since 1990, when one of us described the first European case, we have screened all patients presenting with a clinical, physiopathological and radiological pattern compatible with DPB, in order to assess if the paucity of proven cases in Europe could reflect a lack of awareness of this disease among both pulmonologists and pathologists. Over a 10-years period we identified four additional DPBs, but also interestingly observed five cases of "idiopathic" bronchiolitis (IB) that had both clinical symptoms and high-resolution computed tomography (HRCT) findings indistinguishable from those of DPB, but did not show the typical histological changes. All these patients were Caucasians and presented with dyspnea, productive cough, an obstructive or mixed impairment on pulmonary function tests and chest HRCT features strongly suggesting a grade II to IV DPB. We suggest that diseases classified as IB in this study might be homogeneous entities which are clinically and radiologically similar to DPB.
Authors:
Venerino Poletti; Marco Chilosi; Rocco Trisolini; Alessandra Cancellieri; Maurizio Zompatori; Luigi Lazzari Agli; Maurizio Boaron; W Schulte; D Theegarten; J Guzman; Ulrich Costabel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG / World Association of Sarcoidosis and Other Granulomatous Disorders     Volume:  20     ISSN:  1124-0490     ISO Abbreviation:  Sarcoidosis Vasc Diffuse Lung Dis     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-09     Completed Date:  2004-01-09     Revised Date:  2009-12-10    
Medline Journal Info:
Nlm Unique ID:  9610928     Medline TA:  Sarcoidosis Vasc Diffuse Lung Dis     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  62-8     Citation Subset:  IM    
Affiliation:
Dipartimento di Malattie dell'Apparato Respiratorio e del Torace, Ospedale G.B. Morgagni, Forlì, Italy. vepolet@tin.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anti-Bacterial Agents / therapeutic use*
Bronchiolitis / classification,  diagnosis*,  drug therapy,  pathology
Bronchoalveolar Lavage Fluid
Bronchoscopy
Chronic Disease
Diagnosis, Differential
Erythromycin / therapeutic use*
Female
Humans
Male
Middle Aged
Respiratory Function Tests
Retrospective Studies
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 114-07-8/Erythromycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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