bronchiectasis
BRONCHIECTASIS
Bronchiectasis is an irreversible pathologic dilatation or ectasia of the bronchi due to repeated airway infection and inflammation.
It enhances susceptibility to bronchial infection and increases inflammatory reaction which causes further lung damage.
Classic symptoms of of bronchiectasis are cough with chronic sputum production along with recurring infective exacerbations and hemoptysis.

Specific Therapy for Individual Causes

Hypogammaglobulinemia
  • Administer IV immunoglobulins w/ guidance & supervision from an immunologist
Primary Ciliary Dyskinesia
  • More intensive therapy based on the assumption that disease progression is more likely
  • Emphasis on physical therapy
TB, HIV, Rheumatoid Arthritis, Sarcoidosis, GERD, Chronic Rhinosinusitis
  • Treat active associated disease based on existing guidelines
  • Bronchiectasis may precede, accompany or follow the development of associated disease
Allergic Bronchopulmonary Aspergillosis (ABPA)
  • Control of asthma & prevention of damage from acute exacerbations of ABPA
  • Consider maintenance oral corticosteroids
  • Antifungal therapy (eg Itraconazole) remains 2nd-line choice, unless there is associated invasive aspergillosis
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Respirology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 31 Dec 2019
Adding the neuraminidase inhibitor oseltamivir to usual care speeds up recovery from influenza-like illness by a day compared with usual care alone, with even greater benefits seen in older, sicker patients with comorbidities, according to the ALIC4E study.
Stephen Padilla, 5 days ago
A wearable, hermetically sealed high-precision vibration sensor enables simultaneous monitoring of multiple health factors associated with the cardiopulmonary system, including heart and respiratory rates, heart sounds, lung sounds, and body motion and position of an individual, a study shows.
Roshini Claire Anthony, 03 Feb 2020

The emergence of a novel coronavirus (preliminarily referred to as 2019-nCoV) has taken hold of public attention in the last month. MIMS Doctor speaks to Professor Dale Fisher, a senior consultant at the Division of Infectious Diseases, National University Hospital, Singapore, to get a better picture of the situation and steps being undertaken in Singapore to prevent spread of the virus.

Tristan Manalac, 14 Feb 2020
The use of e-cigarettes with flavoured juices for weight-related reasons appears to be common among adolescents, according to a new study.