Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto

Bronchiolar disorders are generally difficult to diagnose. A detailed clinical history may point toward a specific diagnosis. Pertinent clinical questions include history of smoking, collagen vascular disease, inhalation injury, medication use and organ transplantation. It is important also to evalu...

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Autores principales:	Saldías P,Fernando, Díaz P,Orlando, González B,Sergio, Osses A,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Bronchiolitis Diagnosis, differential Lung diseases, obstructive
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900017
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spelling	oai:scielo:S0034-988720110009000172011-11-17Evaluación clínico-radiológica y clasificación de la bronquiolitis del adultoSaldías P,FernandoDíaz P,OrlandoGonzález B,SergioOsses A,Rodrigo Bronchiolitis Diagnosis, differential Lung diseases, obstructive Bronchiolar disorders are generally difficult to diagnose. A detailed clinical history may point toward a specific diagnosis. Pertinent clinical questions include history of smoking, collagen vascular disease, inhalation injury, medication use and organ transplantation. It is important also to evaluate possible systemic and pulmonary signs of infection, evidence of air trapping, and high-pitched expiratory wheezing, which may suggest small airways involvement. Pulmonary function tests and plain chest radiography may demonstrate abnormalities; however, they rarely prove sufficiently specific to obviate bronchoscopic or surgical biopsy. High-resolution CT (HRCT) scanning of the chest is often an important diagnostic tool to guide diagnosis in these difficult cases, because different subtypes of bronchiolar disorders may present with characteristic image findings. Some histopathologic patterns of bronchiolar disease may be relatively unique to a specific clinical context but others are nonspecific with respect to either etiology or pathogenesis. Primary bronchiolar disorders include acute bronchiolitis, respiratory bronchiolitis, follicular bronchiolitis, mineral dust airway disease, constrictive bronchiolitis, diffuse panbronchiolitis, and other rare variants. Prominent bronchiolar involvement may be seen in several interstitial lung diseases, including hypersensitivity pneumonitis, collagen vascular disease, respiratory bronchiolitis-associated interstitial lung disease, cryptogenic organizing pneumonia, and pulmonary Langerhans cell histiocytosis. Large airway diseases that commonly involve bronchioles include bronchiectasis, asthma, and chronic obstructive pulmonary disease. The clinical and prognostic significance of a bronchiolar lesion is best determined by identifying the etiology, underlying histopathologic pattern and assessing the correlative clinic-physiologic-radiologic context.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.9 20112011-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900017es10.4067/S0034-98872011000900017
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bronchiolitis Diagnosis, differential Lung diseases, obstructive
spellingShingle	Bronchiolitis Diagnosis, differential Lung diseases, obstructive Saldías P,Fernando Díaz P,Orlando González B,Sergio Osses A,Rodrigo Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
description	Bronchiolar disorders are generally difficult to diagnose. A detailed clinical history may point toward a specific diagnosis. Pertinent clinical questions include history of smoking, collagen vascular disease, inhalation injury, medication use and organ transplantation. It is important also to evaluate possible systemic and pulmonary signs of infection, evidence of air trapping, and high-pitched expiratory wheezing, which may suggest small airways involvement. Pulmonary function tests and plain chest radiography may demonstrate abnormalities; however, they rarely prove sufficiently specific to obviate bronchoscopic or surgical biopsy. High-resolution CT (HRCT) scanning of the chest is often an important diagnostic tool to guide diagnosis in these difficult cases, because different subtypes of bronchiolar disorders may present with characteristic image findings. Some histopathologic patterns of bronchiolar disease may be relatively unique to a specific clinical context but others are nonspecific with respect to either etiology or pathogenesis. Primary bronchiolar disorders include acute bronchiolitis, respiratory bronchiolitis, follicular bronchiolitis, mineral dust airway disease, constrictive bronchiolitis, diffuse panbronchiolitis, and other rare variants. Prominent bronchiolar involvement may be seen in several interstitial lung diseases, including hypersensitivity pneumonitis, collagen vascular disease, respiratory bronchiolitis-associated interstitial lung disease, cryptogenic organizing pneumonia, and pulmonary Langerhans cell histiocytosis. Large airway diseases that commonly involve bronchioles include bronchiectasis, asthma, and chronic obstructive pulmonary disease. The clinical and prognostic significance of a bronchiolar lesion is best determined by identifying the etiology, underlying histopathologic pattern and assessing the correlative clinic-physiologic-radiologic context.
author	Saldías P,Fernando Díaz P,Orlando González B,Sergio Osses A,Rodrigo
author_facet	Saldías P,Fernando Díaz P,Orlando González B,Sergio Osses A,Rodrigo
author_sort	Saldías P,Fernando
title	Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
title_short	Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
title_full	Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
title_fullStr	Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
title_full_unstemmed	Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
title_sort	evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900017
work_keys_str_mv	AT saldiaspfernando evaluacionclinicoradiologicayclasificaciondelabronquiolitisdeladulto AT diazporlando evaluacionclinicoradiologicayclasificaciondelabronquiolitisdeladulto AT gonzalezbsergio evaluacionclinicoradiologicayclasificaciondelabronquiolitisdeladulto AT ossesarodrigo evaluacionclinicoradiologicayclasificaciondelabronquiolitisdeladulto
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Evaluación clínico-radiológica y clasificación de la bronquiolitis del adulto

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