Bronchiectasis: a case-based approach to investigation and management

European Respiratory Review : an Official Journal of the European Respiratory Society
Martina ContariniJames D Chalmers

Abstract

Bronchiectasis is a chronic respiratory disease characterised by a syndrome of productive cough and recurrent respiratory infections due to permanent dilatation of the bronchi. Bronchiectasis represents the final common pathway of different disorders, some of which may require specific treatment. Therefore, promptly identifying the aetiology of bronchiectasis is recommended by the European Respiratory Society guidelines. The clinical history and high-resolution computed tomography (HRCT) features can be useful to detect the underlying causes. Despite a strong focus on this aspect of treatment a high proportion of patients remain classified as "idiopathic". Important underlying conditions that are treatable are frequently not identified for prolonged periods of time.The European Respiratory Society guidelines for bronchiectasis recommend a minimal bundle of tests for diagnosing the cause of bronchiectasis, consisting of immunoglobulins, testing for allergic bronchopulmonary aspergillosis and full blood count. Other testing is recommended to be conducted based on the clinical history, radiological features and severity of disease. Therefore it is essential to teach clinicians how to recognise the "clinical phenotypes" of bronchie...Continue Reading

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Citations

Mar 22, 2019·Expert Opinion on Pharmacotherapy·Eun Lee, Soo-Jong Hong
May 1, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Lisa J FranksNorman R Morris
Aug 25, 2020·Annals of Thoracic Medicine·Rafael Martinez-GironLiron Pantanowitz
Dec 6, 2019·Breathe·Diego Severiche-BuenoSanjay H Chotirmall
Sep 10, 2020·Pediatric Pulmonology·Eric S MullMelissa Holtzlander
Nov 25, 2020·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Katheryne Benini MartinsDaniela Fernandes Ramos
Mar 10, 2021·Lung India : Official Organ of Indian Chest Society·Raja DharS K Jindal
Mar 20, 2021·Expert Review of Respiratory Medicine·Celine Vidaillac, Sanjay H Chotirmall
Jan 23, 2020·Seminars in Ultrasound, CT, and MR·Angelica Patino GonzalezDaniel Kowal
Jul 31, 2021·Expert Review of Anti-infective Therapy·Daniel Echeverria-EsnalSantiago Grau

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