A 15-year old girl with asthma and lower lobe bronchiectasis
| Autor: | Anthony J. Ricketti, Peter A. Ricketti, David W. Unkle, Katherine A King, Dennis J. Cleri |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Adolescent Aspiration pneumonia Cystic fibrosis Diagnosis Differential Humans Immunology and Allergy Medicine Asthma Primary ciliary dyskinesia Bronchiectasis business.industry General Medicine medicine.disease Dermatology respiratory tract diseases Exhaled nitric oxide Sputum Female medicine.symptom Allergic bronchopulmonary aspergillosis Tomography X-Ray Computed business Ciliary Motility Disorders |
| Zdroj: | Allergy and Asthma Proceedings. 36:82-86 |
| ISSN: | 1088-5412 |
| DOI: | 10.2500/aap.2015.36.3784 |
| Popis: | Wet cough, wheeze, and sputum in an adolescent with evidence for bronchiectasis is an uncommon presentation. The differential diagnosis includes cystic fibrosis (CF), immunodeficiency disorders, complement deficiency, allergic bronchopulmonary aspergillosis, alpha-1 antitrypsin disease, repeated aspiration pneumonia, foreign body, bronchial carcinoid, unresolved right middle lobe pneumonia, and primary ciliary dyskinesia (PCD). The likely diagnosis proceeds from the more to less common in patients with these symptoms. The location of disease on computed tomography scanning, nasal and bronchial exhaled nitric oxide, identification of ultrastructural defects on electron microscopy, and specific genetic mutation help separate CF and PCD. Although differentiating these conditions is vital, the chronic management of the bronchiectasis usually includes clearance mechanisms, bronchodilators, regular exercise, appropriate vaccinations, and judicious antibiotics for airway infections. |
| Databáze: | OpenAIRE |
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