Interstitial lung diseases and bronchiolar involvement

Česká verzia

Authors: M. Šterclová; M. Vašáková
Authors place of work: Primářka: doc. MUDr. Martina Vašáková, PhD. ; Přednosta: prof. MUDr. Jiří Homolka, DrSc. ; Pneumologická klinika ; Thomayerova nemocnice, Praha ; 1. lékařská fakulta ; Universita Karlova v Praze
Published in the journal: Prakt. Lék. 2012; 92(8): 452-454
Category: Of different specialties

Summary

Bronchiolar disorders belong among relatively neglected pulmonary diseases. They can be diagnosed in various interstitial lung diseases either as isolated bronchiolar involvement or together with affection of interstitium and alveoli. Aetiology of bronchiolar disorders is well known in a lot of patients (inhalation agents or medication), or can be a sign of extrapulmonary disease or it may accompany primary idiopathic lung disease (e.g. pulmonary histiocytosis of Langerhans cells). High resolution computed tomography plays the main role in diagnosis of bronchiolar disorders. Bronchiolar involvement affects treatment strategy and prognosis of patients with extrapulmonary disease as in patients with rheumatoid arthritis or Sjögren´s syndrom. Therapy of other interstitial lung diseases is independent on bronchiolar involvement and mostly remains symptomatic.

Key words:
bronchiolitis, interstitial lung disease, HRCT

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