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Online Journal of Medicine

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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
  1. Non ciliated columnar, ciliated columnar and basal cells
  2. Non ciliated cuboidal cells
  3. Nonciliated cuboidal type II cells and squamous type I cells
  4. 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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