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Tables
Bronchiolar
Airway Disorders and Bronchiolitis Obliterans
Gary R. Epler, M.D.
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TABLE 1. Historic
Perspective of Bronchiolar Disorders
1901 Bronchiolitis
obliterans
1902 Fume related bronchiolitis obliterans
1904 Post infection bronchiolitis obliterans
1977 Connective tissue disease-related bronchiolitis obliterans
1977 Drug-related bronchiolitis obliterans
1982 Bone marrow transplantation bronchiolitis obliterans
1983 Diffuse panbronchiolitis
1984 Heart-lung transplantation obliterative bronchiolitis
1985 Idiopathic BOOP
1987 Respiratory bronchiolitis-interstitial lung disease
1989 Lung transplantation obliterative bronchiolitis
1992 Neuroendocrine cell hyperplasia with airflow obstruction
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TABLE 2. Airway
Anatomy
|
| Structure
|
Feature
|
Bronchus
|
Cartilage, mucous glands, ciliated epithelium, smooth muscle
|
|
Bronchioles |
Ciliated epithelium, smooth muscle
|
|
Terminal bronchioles |
Ciliated and non-ciliated epithelium, few basal cells, smooth muscle
|
|
Respiratory bronchioles |
- Non ciliated
columnar, ciliated columnar and basal cells
- Non ciliated
cuboidal cells
- Nonciliated
cuboidal type II cells and squamous type I cells
- Alveoli
in walls
|
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TABLE 3. Pathological
Features of Constrictive Bronchiolitis
Irreversible scarring
and alteration of bronchioles that may include:
 
Complete fibrous obliteration of bronchioles
Dilatation of airways with mucus stasis
Acute or chronic inflammation in the wall
Acute lumenal inflammation
Distal airspaces may show effects of obstruction
Stenosis from concentric or eccentric mural fibrosis
or submucosal granulation tissue formation
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Table 4. Clinical
Classification of the Diseases of the Bronchioles
Bronchiolar disorders
of the airways
Acute or chronic cellular bronchiolitis
Follicular bronchiolitis
Mineral dust bronchiolitis
Cigarette smoke respiratory bronchiolitis
Diffuse panbronchiolitis
Constrictive bronchiolitis
Idiopathic
Post fume exposure
Postinfection
Rheumatologic or connective-tissue disorders
Drug reaction
Post bone marrow transplantation
Post lung transplantation
Miscellaneous
Aspiration
Stevens-Johnson syndrome
Carcinoid
Primary biliary cirrhosis
Sauropus androgynus
Interstitial lung disease with bronchiolar involvement
Respiratory bronchiolitis-interstitial lung disease
Bronchiolitis obliterans organizing pneumonia (BOOP)
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TABLE 5.Bronchiolitis Obliterans (Constrictive Bronchiolitis Pattern)
Compared to Bronchiolitis Obliterans Organizing Pneumonia (BOOP)
|
| Description
|
Bronchiolitis
Obliterans |
BOOP* |
| General |
Airflow disorder
|
Interstitial
disorder |
| Pathological
findings |
Constrictive
bronchiolitis |
Proliferative
bronchiolitis obliterans, org. pneumonia |
| Chest examination
|
Early crackles
|
Late crackles
|
| Chest radiograph
|
Normal |
Patchy infiltrates
|
| Pulmonary
function |
Abnormal FEV,
and FEV,/FVC percentage |
Abnormal vital
capacity and Dsb |
| Therapy response
|
Poor |
Good |
| Prognosis
|
Poor |
Good |
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