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THE DIAGNOSIS AND TREATMENT OF BRONCHIECTASIS

THE DIAGNOSIS AND TREATMENT OF BRONCHIECTASIS Bronchiectasis is an infection in a pathologic dilatation of one or more bronchial segments. Various coexisting stages of inflammatory thickening, ulcerative thinning and cicatricial contraction of the bronchial walls characterize the pathologic anatomy and determine the clinical manifestations of the disease. The infection may remain limited to the bronchial walls or extend into the lung parenchyma with resulting sclerosis or pulmonary abscess, or both. Bronchiectasis may be unilateral or bilateral, localized or diffuse, cylindric, saccular or fusiform. It usually affects the lower lobes only, the left more often than the right. The dilatations of the bronchi may be congenital or acquired. In the congenital type, infection determines the onset of symptoms. In the acquired, infection and various mechanical factors play a variable combined rôle in producing the dilatations. DIAGNOSIS The diagnosis of bronchiectasis has been based essentially on the presence of a chronic cough with purulent sputum and on the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

THE DIAGNOSIS AND TREATMENT OF BRONCHIECTASIS

JAMA , Volume 89 (17) – Oct 22, 1927

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1927 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1927.02690170008003
Publisher site
See Article on Publisher Site

Abstract

Bronchiectasis is an infection in a pathologic dilatation of one or more bronchial segments. Various coexisting stages of inflammatory thickening, ulcerative thinning and cicatricial contraction of the bronchial walls characterize the pathologic anatomy and determine the clinical manifestations of the disease. The infection may remain limited to the bronchial walls or extend into the lung parenchyma with resulting sclerosis or pulmonary abscess, or both. Bronchiectasis may be unilateral or bilateral, localized or diffuse, cylindric, saccular or fusiform. It usually affects the lower lobes only, the left more often than the right. The dilatations of the bronchi may be congenital or acquired. In the congenital type, infection determines the onset of symptoms. In the acquired, infection and various mechanical factors play a variable combined rôle in producing the dilatations. DIAGNOSIS The diagnosis of bronchiectasis has been based essentially on the presence of a chronic cough with purulent sputum and on the

Journal

JAMAAmerican Medical Association

Published: Oct 22, 1927

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