Bronchiectasis

Bronchiectasis

Irreversible chronic abnormal focal bronchial dilation  act as “sumps” for infected mucous  destruction of bronchial walls. Can be confined to one segment or diffuse.

Three forms – cylindrical/fusiform, varicose, saccular/cystic

Aetiology:
Congenital (cystic fibrosis, ciliary dysfunction syndromes); pneumonia; tuberculosis; foreign body; bronchial neoplasm; measles

Clinical features:
Often asymptomatic; exacerbations in winter with fever, cough, purulent sputum, haemoptysis, dyspnoea, pleuritic chest pain, wheeze, nail clubbing

Management:
Twice daily postural drainage
Antibiotics
Bronchodilators
Surgical excision (rare)

Comments are closed.