Presentation
Collection includes both citations and many full-text, downloadable documents from mid-1900s to present. AULIMP - Air University Library Index to Military Periodicals. [dtic.mil]
2014/2/2/71/135116 Introduction 0Aspergillus sp. is an ubiquitous fungus present in the environment and it causes pulmonary diseases in healthy and immunocompromised individuals with diverse clinical presentations - allergic bronchopulmonary aspergillosis [jacpjournal.org]
This diagnosis is challenging because the presentation and the subsequent course are often atypical. Patients present with nonspecific symptoms such as wheezing, cough with sputum 3 and a normal chest film. [aafp.org]
[…] within the dilated bronchus, simulating cavitation -Atelectasis (which may be extensive) may or may not be present distal to impaction 2) Cluster of Grapes Appearance: -Upper lobe predilection with absence of calcification 4) Lung Nodule: -Upper lobe [mdnxs.com]
His original paper was presented before the American Association for Thoracic Surgery in 1951 and was published in the Journal of Thoracic Surgery in August, 1951. [annals.org]
Entire Body System
- Pathologist
Pathologists will find this book tremendously helpful when faced with difficult cases of interstitial lung disease or lung granulomas. It should be part of every surgical pathologist's library. [books.google.de]
Because the preoperative diagnosis of most CBA cases was not definite, further the distal bronchi of the operative specimens were not carefully dissected by a pathologist. The proximal blind-ending bronchus was identified in only two cases. [medsci.org]
Respiratoric
- Sputum
Bronchial Carcinoid, Bronchial Atresia, or Bronchial Cyst BCG: Lung Cancer: Physiology Mucoid impaction within proximal segment bronchus Proximal bronchial dilatation and distention with thick secretions Focal angiitis may also occur in the area Diagnosis Sputum [mdnxs.com]
[…] total serum IgE Precipitating antibodies against A. fumigatus Peripheral blood eosinophilia Elevated serum IgE and IgG to A. fumigatus Central/proximal bronchiectasis with normal tapering of distal bronchi Minor criteria Expectoration of golden brownish sputum [err.ersjournals.com]
Prominent neutrophilic inflammation in sputum from subjects with asthma exacerbation. J. Allergy Clin. [mdpi.com]
This showed us that the sputum may sometimes block the respiratory passage and mimic foreign body bronchial obstruction. [f1000research.com]
Episodic hemoptysis with little to no sputum production (dry bronchiectasis) is usually a sequela of tuberculosis. [emedicine.medscape.com]
- Productive Cough
Case Summary A 15-year-old boy presented with fever and productive cough of 4 weeks duration. Cough was muco-purulent, about 20 mL/d, without any postural variation. There was no history of hemoptysis, anorexia, or weight loss. [rc.rcjournal.com]
cough and exertional dyspnea. [annsaudimed.net]
The patient had a 4-week history of productive cough and rhinorrhea. She had been diagnosed with pneumonia ( Fig. 1A ) at a private clinic and had undergone medical treatment for it. There was no history of hemoptysis, anorexia, or weight loss. [ekjm.org]
The patient endorsed intermittent left upper back pain, occasional substernal chest pain, fatigue, and a chronic, productive cough. She did not describe fevers, chills, or night sweats. [omicsonline.org]
Mucoid impactions in a 41-year-old man with a productive cough and dyspnea at presentation and with a history of papillomatosis. PA radiograph demonstrates branching opacities in the right lower lobe, the so-called finger-in-glove sign. [pubs.rsna.org]
- Pulmonary Disorder
DISCUSSION Eosinophilic lung diseases are a heterogeneous group of pulmonary disorders characterized by an increased number of eosinophils in the airway or lung parenchyma. This case showed no evidence of asthma or increased IgE levels. [ekjm.org]
disorders including bronchial asthma[ 1 ]. [wjgnet.com]
This pulmonary disorder arises from an allergic response to multiple antigens expressed by Aspergillus fumigatus (Af). Pulmonary infiltrates, eosinophilia and sputum production are characteristic. [bioscience.org]
- Respiratory Disorders
Bronchocele Synonym for Other diseases of bronchus, not elsewhere classified J00-J99 Diseases of the respiratory system (J00-J99)|J96-J99 Other diseases of the respiratory system (J96-J99)|J98 Other respiratory disorders|J98.0 Diseases of bronchus, not [averbis.com]
ICD-10-CM Codes › J00-J99 Diseases of the respiratory system › J96-J99 Other diseases of the respiratory system › J98- Other respiratory disorders › Other diseases of bronchus, not elsewhere classified 2016 2017 2018 2019 Billable/Specific Code J98.09 [icd10data.com]
- Dry Cough
On detailed enquiry, it was revealed that a history of intermittent breathlessness, dry cough, fever, wheezes, were present for last 2 years, mostly in the early morning. [jacpjournal.org]
Cardiovascular
- Cyanosis
On examination, there was no cyanosis, and edema. His pulse rate was 124 beats/min, respiratory rate, 28 breaths/min, temperature 37°C, and blood pressure, 100/64 mmHg. [jacpjournal.org]
Workup
After initial workup, the patient underwent fiberoptic bronchoscopy, which revealed thick whitish secretions impacted in the right lower lobe, left upper lobe and left lower lobe bronchus, which proved difficult to be removed by the bronchoscope, prompting [annsaudimed.net]
A hyperlucency over her left upper lung zone was discovered incidentally 15 years prior for workup of a possible rib fracture. The patient endorsed episodes of pneumonia every 2 years since childhood. [omicsonline.org]
X-Ray
- Atelectasis
[…] mucoid impaction of bronchus plugging of the lumen of bronchi as a result of thickened mucus, interfering with ventilation of corresponding lung segments and leading to characteristic clustered linear and grapelike radiologic densities and occasionally atelectasis [medical-dictionary.thefreedictionary.com]
Proximal mucoid impaction can cause segmental or lobar atelectasis [5]. [posterng.netkey.at]
Associated findings include atelectasis and obstructive pneumonitis (, 18 ). [pubs.rsna.org]
Treatment
However, the effective treatment has not yet been established. Case. A 68-year-old woman was referred to our hospital because of persistent cough and wheezing lasting at least 4 years. [jstage.jst.go.jp]
Treatment There is significant debate regarding the treatment of bronchial atresia. Some doctors prefer to perform surgery on all patients [ 18 ]. [medsci.org]
Eight years previously, she had undergone right single-lung transplantation for treatment of advanced chronic obstructive pulmonary disease. [atsjournals.org]
Oral corticosteroids are the treatment of choice Antifungal agents Response to therapy may be monitored by serial serum IgE measurements Allergic Bronchopulmonary Aspergillosis (ABPA). [learningradiology.com]
Full Text A 79-year-old man with chronic obstructive pulmonary disease underwent laparoscopic nephrectomy for the treatment of clear cell renal cell carcinoma (T1bN0M0). [archbronconeumol.org]
Prognosis
It has favorable response to steroid. 16 Acute mortality has been reported with mucoid impaction secondary to asphyxiation, but long-term prognosis has not been reported. [annsaudimed.net]
[…] this has not yet developed in infants and young children, which is why the distal lung is rather hyperlucent in this population (e.g. congenital bronchial atresia, foreign body aspiration) distal airway dilatation double artery sign 9 Treatment and prognosis [radiopaedia.org]
A biopsy is the process of removing living tissue or cells from organs or other body parts of patients for examination under a microscope or in a culture to help make a diagnosis, follow the course of a disease, or estimate a prognosis. [medfriendly.com]
Park et al. mentioned that mucus impaction and plastic bronchitis are usually self-limited or responsive to medical therapy, with a good prognosis, although their patient did not respond to oral corticosteroid or intrabronchial instillation of acetylcysteine [f1000research.com]
Respiratory involvement, occurring in 50% to 70% of cases, imparts a poor prognosis and causes approximately 50% of deaths from this disease, generally from recurrent pneumonia ( 31, 33, 34, 35 ). [thoracickey.com]
Etiology
Unlike most pathology textbooks, diseases are grouped on the basis of pathologic findings rather than etiology, mirroring the actual practice of surgical pathology. [books.google.de]
Diagnosis Congenital bronchial atresia; right lower lobe Discussion Bronchial atresia is a congenital anomaly of unknown etiology, in which a segmental bronchus fails to communicate with the central airways. [appliedradiology.com]
Synopsis dilated bronchi - laminated mucus eosinophilic debris Charcot-Leyden crystals Etiology allergic bronchopulmonary fungal disease Association obstructive pneumonia [humpath.com]
Etiology ABPA: Asthma: Chronic Bronchitis: Cystic Fibrosis: Distal to Central Airway Obstruction: associated with Bronchial Carcinoid, Bronchial Atresia, or Bronchial Cyst BCG: Lung Cancer: Physiology Mucoid impaction within proximal segment bronchus [mdnxs.com]
Some case reports have shown an association with endotracheal intubation 6 and transtracheal oxygen catheter insertion, 7 and also in children with cyanotic heart diseases. 8 Only a few case reports of mucoid impaction of unknown etiology are described [annsaudimed.net]
Epidemiology
Pediatric plastic bronchitis: case report and retrospective comparative analysis of epidemiology and pathology. Case Rep Pulmonol. 2013 ;2013: 649365. Google Scholar | Medline 15. Jelihovsky, T. [journals.sagepub.com]
Traction bronchiectasis is restricted to the areas of end-stage fibrosis and particularly affects peripheral bronchi, which lack cartilage support. [51] Epidemiology A review of nontuberculous mycobacteria-associated hospitalizations showed a significant [emedicine.medscape.com]
Original Article Introduction Bronchial asthma is a common chronic disease worldwide affecting 1% to 18% of the population in different countries ( 1 ), and a recent epidemiologic study reported that the prevalence of asthma in China was 0.5% to 5% with [jtd.amegroups.com]
Pathophysiology
The research breakthroughs of the decade began with the first fundamental insights, published in 1981-1983, into the basic cellular pathophysiology of CF with demonstrations of altered ion transport in spe cialized exocrine epithelial tissues (1-3). [books.google.com]
[…] impaction, patients end up with wrongful thoracotomy and lung resections, but awareness of this condition, and radiological and bronchoscopic findings could help avert unnecessary diagnostic and surgical intervention. 3,4,14,15 Although no definitive pathophysiology [annsaudimed.net]
Although the pathophysiology is not clearly understood, it is commonly seen in children with congenital heart diseases, cardiac and pericardial diseases in adults and in patients with chronic asthma 6. [f1000research.com]
Pathophysiology Bronchiectasis is not caused by a single factor, but is a complex interplay between repeated inflammation and a defective immune response to inflammation. [29] Many congenital or acquired abnormalities can prevent normal airway defense [emedicine.medscape.com]
While the pathophysiology is complex and not fully understood, type I and III hypersensitivity reactions as well as cellular immunity seem to play an important role in the development of the disease. [pubs.rsna.org]
Prevention
Introduction Despite constant exposure to pathogens, particles and toxic chemicals, the lungs have intrinsic mechanisms which prevent environmental injury. The airway mucociliary clearance apparatus is vital for preventing lung disease in humans. [mdpi.com]
The recognition of this condition can prevent poor management decisions.9 References 1. Psathakis K, Lachanis S, Kotoulas C, et al. The prevalence of congenital bronchial atresia in males. Monaldi Arch Chest Dis 2004; 61:28-34. 2. [jpma.org.pk]
Pathophysiology Bronchiectasis is not caused by a single factor, but is a complex interplay between repeated inflammation and a defective immune response to inflammation. [29] Many congenital or acquired abnormalities can prevent normal airway defense [emedicine.medscape.com]
Treatment with corticosteroids appears to prevent the progression of the disease. 2. [bioscience.org]
GLOBAL Strategy for Asthma Management and Prevention - (1995). NHLBI/WHO Workshop. National Institutes of Health, National Heart, Lung, and Blood Institute, Publication Number 95-3659. [ Links ] 9. [scielo.br]